Roisman, Tully Stephen

Roisman, Tully Stephen is an individual health care provider with primary practice located at 1151 Hal Greer Blvd , Huntington WV 25701-3705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roisman, Tully Stephen can be contacted via phone (304) 529-2800.

Contact Information

Primary practice address
1151 Hal Greer Blvd Huntington WV 25701-3705
Phone: (304) 529-2800
Fax: (304) 529-2802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12735 West Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23615 Kentucky

Profile Details

NPI number 1801822242
LBN Legal business name Roisman, Tully Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Sep 29th, 2010 - about 15 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 1801822242 NPPES
West Virginia MEDICAID 0096811000
West Virginia MEDICAID 64695562

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