Tysiak, Marissa Faye
Tysiak, Marissa Faye is an individual health care provider with primary practice located at 3110 Maccorkle Ave Se , Charleston WV 25304-1210. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Tysiak, Marissa Faye can be contacted via phone (304) 388-9948.Contact Information
Primary practice address
3110 Maccorkle Ave Se
Charleston WV 25304-1210
Phone: (304) 388-9948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1316180813 |
|---|---|
| LBN Legal business name | Tysiak, Marissa Faye |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2009 |
| Last updated | Apr 13th, 2009 - 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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