Tisman, Glenn

Tisman, Glenn is an individual health care provider with primary practice located at 13025 Bailey St Ste A, Whittier CA 90601-4212. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tisman, Glenn can be contacted via phone (562) 789-8822.

Contact Information

Primary practice address
13025 Bailey St Ste A Whittier CA 90601-4212
Fax: (562) 698-4582
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G19173A California

Profile Details

NPI number 1659373983
LBN Legal business name Tisman, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 5th, 2008 - about 16 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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