Allen, Tisa

Allen, Tisa is an individual health care provider with primary practice located at 2999 Philadelphia Pike , Claymont DE 19703-2507. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Allen, Tisa can be contacted via phone (302) 792-0700.

Contact Information

Primary practice address
2999 Philadelphia Pike Claymont DE 19703-2507
Phone: (302) 792-0700
Fax: (302) 792-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN267228 Pennsylvania

Profile Details

NPI number 1821733593
LBN Legal business name Allen, Tisa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Apr 28th, 2022 - about 2 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 1821733593 NPPES
Delaware MEDICAID 1114079654

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