Tis, John
Tis, John is an individual health care provider with primary practice located at 55 Madison Ave Ste 360 , Morristown NJ 07960-7390. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Tis, John can be contacted via phone (973) 971-7830.Contact Information
Primary practice address
55 Madison Ave Ste 360
Morristown NJ 07960-7390
Phone: (973) 971-7830
Fax: (973) 267-5060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101052990 | Virginia |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 25MA11722800 | New Jersey |
Profile Details
NPI number | 1649363797 |
---|---|
LBN Legal business name | Tis, John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Nov 3rd, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649363797 | NPPES |
Virginia | MEDICAID | 010321034 |
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