Carpenter, Cory Tyson
Carpenter, Cory Tyson is an individual health care provider with primary practice located at 10787 Nall Ave Ste 310 , Overland Park KS 66211-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Carpenter, Cory Tyson can be contacted via phone (913) 945-6900.Contact Information
Primary practice address
10787 Nall Ave Ste 310
Overland Park KS 66211-1301
Phone: (913) 945-6900
Fax: (913) 946-6970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015014048 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 05-47099 | Kansas |
Profile Details
| NPI number | 1679833800 |
|---|---|
| LBN Legal business name | Carpenter, Cory Tyson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | Apr 4th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679833800 | NPPES |
| Missouri | MEDICAID | 1679833800 |
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