Tisdall, John Robbie

Tisdall, John Robbie is an sole proprietor health care provider with primary practice located at 1815 C Street Suite J35, Bellingham WA 98225-4027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tisdall, John Robbie can be contacted via phone (360) 671-7017.

Contact Information

Primary practice address
1815 C Street Suite J35 Bellingham WA 98225-4027
Fax: (360) 671-7099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16303 Washington

Profile Details

NPI number 1740360833
LBN Legal business name Tisdall, John Robbie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Apr 12th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740360833 NPPES
Washington MEDICAID 1096031

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