Pistone, Joseph
Pistone, Joseph is an sole proprietor health care provider with primary practice located at 5414 S Broadway Ave , Tyler TX 75703-1335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pistone, Joseph can be contacted via phone (903) 581-1601.Contact Information
Primary practice address
5414 S Broadway Ave
Tyler TX 75703-1335
Phone: (903) 581-1601
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L2554 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.024374 | Louisiana |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L2554 | Texas |
Profile Details
NPI number | 1831189836 |
---|---|
LBN Legal business name | Pistone, Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 21st, 2005 |
Last updated | Jun 15th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831189836 | NPPES |
Texas | Other | 75-0818167-022 | TRICARE |
Texas | Other | P01608452 | TRICARE |
Texas | Other | 8FR384 | TRICARE |
Texas | Other | 752616977001 | TRICARE |
Texas | Other | 752616977002 | TRICARE |
Texas | Other | 752616977028 | TRICARE |
Texas | Other | P01609937 | TRICARE |
Texas | Other | 8FR383 | TRICARE |
Texas | MEDICAID | 149382701 | TRICARE |
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