Morris-Christian, Tisa Anne

Morris-Christian, Tisa Anne is an sole proprietor health care provider with primary practice located at 10225 W Lincoln Hwy , Frankfort IL 60423-1279. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Morris-Christian, Tisa Anne can be contacted via phone (815) 464-0081.

Contact Information

Primary practice address
10225 W Lincoln Hwy Frankfort IL 60423-1279
Fax: (815) 464-0538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036101122 Illinois

Profile Details

NPI number 1497866065
LBN Legal business name Morris-Christian, Tisa Anne
Credentials M.D.,MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Feb 10th, 2021 - about 4 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 1497866065 NPPES
Illinois MEDICAID 036101122

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