Tisdell, Jennifer Ellen
Tisdell, Jennifer Ellen is an individual health care provider with primary practice located at 30 Old Lyman Rd , South Hadley MA 01075-2630. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Tisdell, Jennifer Ellen can be contacted via phone (413) 533-7140.Contact Information
Primary practice address
30 Old Lyman Rd
South Hadley MA 01075-2630
Phone: (413) 533-7140
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | S60873821 | Massachusetts |
Profile Details
NPI number | 1467634683 |
---|---|
LBN Legal business name | Tisdell, Jennifer Ellen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2007 |
Last updated | Nov 29th, 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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