Dellos, Tisha Gayette

Dellos, Tisha Gayette is an individual health care provider with primary practice located at 1330 Coshocton Ave , Mount Vernon OH 43050-1440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dellos, Tisha Gayette can be contacted via phone (740) 393-9770.

Contact Information

Primary practice address
1330 Coshocton Ave Mount Vernon OH 43050-1440
Phone: (740) 393-9770
Fax: (740) 399-3134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 34.008976 Ohio

Profile Details

NPI number 1033361712
LBN Legal business name Dellos, Tisha Gayette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2008
Last updated Nov 29th, 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 1033361712 NPPES
Ohio MEDICAID 2938558

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