Mullins, Tyler Ryan
Mullins, Tyler Ryan is an sole proprietor health care provider with primary practice located at 37290 Old Perkins Rd , Prairieville LA 70769-3764. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mullins, Tyler Ryan can be contacted via phone (225) 677-9999.Contact Information
Primary practice address
37290 Old Perkins Rd
Prairieville LA 70769-3764
Phone: (225) 677-9999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7324 | Louisiana |
Profile Details
| NPI number | 1609515436 |
|---|---|
| LBN Legal business name | Mullins, Tyler Ryan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2022 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609515436 | NPPES |
| Louisiana | MEDICAID | 68721 |
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