Tisby, Matthew Joseph
Tisby, Matthew Joseph is an sole proprietor health care provider with primary practice located at 2437 Roy Rd , Shreveport LA 71107. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Tisby, Matthew Joseph can be contacted via phone (318) 424-9584.Contact Information
Primary practice address
2437 Roy Rd
Shreveport LA 71107
Phone: (318) 424-9584
Fax: (318) 424-6121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1548367014 |
|---|---|
| LBN Legal business name | Tisby, Matthew Joseph |
| Credentials | M. DIV. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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