Tinsley, Austin R
Tinsley, Austin R is an sole proprietor health care provider with primary practice located at 2400 Lucy Lee Pkwy Ste A, Poplar Bluff MO 63901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tinsley, Austin R can be contacted via phone (573) 686-1144.Contact Information
Primary practice address
2400 Lucy Lee Pkwy Ste A
Poplar Bluff MO 63901
Phone: (573) 686-1144
Fax: (573) 686-3312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34610 | Missouri |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Missouri |
Profile Details
| NPI number | 1568434520 |
|---|---|
| LBN Legal business name | Tinsley, Austin R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568434520 | NPPES |
| Missouri | MEDICAID | 200331452 |
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