Tisdale, Michael A
Tisdale, Michael A is an individual health care provider with primary practice located at 308 E. Young St. , Elma WA 98541. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tisdale, Michael A can be contacted via phone (360) 482-2674.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00003857 | Washington |
Profile Details
| NPI number | 1831414796 |
|---|---|
| LBN Legal business name | Tisdale, Michael A |
| Credentials | CP00003857 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2010 |
| Last updated | Apr 5th, 2010 - about 14 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.
Popular Providers
-
Foster, Pauline J
308 E. Young St. , Elma WA 98541 -
Kadet, Jeanne
5244 Lyngate Ct Suite 200, Burke VA 22015-1631 -
Ginther, Lindey Lu Kaelin
308 E. Young St. , Elma WA 98541-9854 -
Abrahamson, Charlene
308 E Young St , Elma WA 98541 -
Starkey, Melody Lynn
308 East Young , Elma WA 98541-0477 -
Wise, Shelley D
245 Crossroads Blvd , Carmel CA 93923-8650 -
Franklin, Cristiana Maria
308 E. Young , Elma WA 98541 -
Pohl, Brock Dustin
308 E. Young St. , Elma WA 98541