Tidman, Lisa M.

Tidman, Lisa M. is an individual health care provider with primary practice located at 30 Hawthorne St , Williston VT 05495-8212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Tidman, Lisa M. can be contacted via phone (802) 876-6100.

Contact Information

Primary practice address
30 Hawthorne St Williston VT 05495-8212
Phone: (802) 876-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 041-0000385 Vermont

Profile Details

NPI number 1467413930
LBN Legal business name Tidman, Lisa M.
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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