Prosperie, James Carey

Prosperie, James Carey is an sole proprietor health care provider with primary practice located at 2119 E 5Th St , Tyler TX 75701-3515. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Prosperie, James Carey can be contacted via phone (903) 597-3383.

Contact Information

Primary practice address
2119 E 5Th St Tyler TX 75701-3515
Fax: (903) 597-2129
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 16366 Texas

Profile Details

NPI number 1639269442
LBN Legal business name Prosperie, James Carey
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639269442 NPPES
Texas MEDICAID 4580367

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