Crisp, Tyler Allen
Crisp, Tyler Allen is an individual health care provider with primary practice located at 1444 Peterman Dr , Alexandria LA 71301-3432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Crisp, Tyler Allen can be contacted via phone (318) 442-5399.Contact Information
Primary practice address
1444 Peterman Dr
Alexandria LA 71301-3432
Phone: (318) 442-5399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | R2898 | Kentucky |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 301690 | Louisiana |
Profile Details
| NPI number | 1356609127 |
|---|---|
| LBN Legal business name | Crisp, Tyler Allen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Sep 15th, 2016 - about 9 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 | 1356609127 | NPPES |
| Louisiana | MEDICAID | 2424050 |
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