Tisnower, Herbert

Tisnower, Herbert is an sole proprietor health care provider with primary practice located at 1837 S 65Th St , Philadelphia PA 19142-1423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Tisnower, Herbert can be contacted via phone (215) 726-0181.

Contact Information

Primary practice address
1837 S 65Th St Philadelphia PA 19142-1423
Phone: (215) 726-0181
Fax: (215) 726-5110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD028686E Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD028686E Pennsylvania

Profile Details

NPI number 1831195619
LBN Legal business name Tisnower, Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2005
Last updated Sep 9th, 2022 - about 2 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 1831195619 NPPES
Pennsylvania MEDICAID 0009887700002
Pennsylvania Other 0035661000
Pennsylvania Other 0035661000
Pennsylvania Other 232626909
Pennsylvania Other 232626909
Pennsylvania Other 080019943
Pennsylvania Other 0035661001
Pennsylvania Other 1831195619

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