Wiseman, Troy D

Wiseman, Troy D is an sole proprietor health care provider with primary practice located at 12A Idella Ln , Conway AR 72032-9587. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Wiseman, Troy D can be contacted via phone (501) 697-7036.

Contact Information

Primary practice address
12A Idella Ln Conway AR 72032-9587
Phone: (501) 697-7036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 927290469 Arkansas
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1316603905
LBN Legal business name Wiseman, Troy D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2021
Last updated Jun 27th, 2022 - about 3 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 1316603905 NPPES
Arkansas MEDICAID 87-2206707

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