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
Phone: (208) 552-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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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