Tishon, Jayme R
Tishon, Jayme R is an individual health care provider with primary practice located at 715 N Weber St Ste 100 , Colorado Springs CO 80903-1092. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Tishon, Jayme R can be contacted via phone (719) 473-6155.Contact Information
Primary practice address
715 N Weber St Ste 100
Colorado Springs CO 80903-1092
Phone: (719) 473-6155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101251992 | Virginia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DR.0063222 | Colorado |
Profile Details
| NPI number | 1417123829 |
|---|---|
| LBN Legal business name | Tishon, Jayme R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | Feb 16th, 2024 - 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 | 1417123829 | NPPES |
| Colorado | MEDICAID | 9000182186 |
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