Taylor, Tisa Alexis
Taylor, Tisa Alexis is an sole proprietor health care provider with primary practice located at 4510 Frankford Ave , Philadelphia PA 19124-3602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Taylor, Tisa Alexis can be contacted via phone (215) 744-1302.Contact Information
Primary practice address
4510 Frankford Ave
Philadelphia PA 19124-3602
Phone: (215) 744-1302
Fax: (215) 744-2544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT191370 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD440235 | Pennsylvania |
Profile Details
| NPI number | 1447418561 |
|---|---|
| LBN Legal business name | Taylor, Tisa Alexis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2008 |
| Last updated | Jun 25th, 2010 - about 16 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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