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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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