Tyer, Keith D

Tyer, Keith D is an individual health care provider with primary practice located at 2400 Hospital Dr , Bossier City LA 71111-2385. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tyer, Keith D can be contacted via phone (318) 212-7000.

Contact Information

Primary practice address
2400 Hospital Dr Bossier City LA 71111-2385
Phone: (318) 212-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN045473APO1843 Louisiana

Profile Details

NPI number 1922105949
LBN Legal business name Tyer, Keith D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 5th, 2008 - 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 1922105949 NPPES
Louisiana MEDICAID 1533599

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