Parker, Tyson Craig

Parker, Tyson Craig is an individual health care provider with primary practice located at 3614 Washington Pkwy , Idaho Falls ID 83404-7573. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Parker, Tyson Craig can be contacted via phone (208) 552-7700.

Contact Information

Primary practice address
3614 Washington Pkwy Idaho Falls ID 83404-7573
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-690 Idaho

Profile Details

NPI number 1295921484
LBN Legal business name Parker, Tyson Craig
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Sep 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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