Iselin, Tinsley Simonds
Iselin, Tinsley Simonds is an individual health care provider with primary practice located at 8926 Woodyard Rd Suite 701, Clinton MD 20735-4220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Iselin, Tinsley Simonds can be contacted via phone (301) 856-1682.Contact Information
Primary practice address
8926 Woodyard Rd Suite 701
Clinton MD 20735-4220
Phone: (301) 856-1682
Fax: (301) 856-0964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0004858 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110004018 | Virginia |
Profile Details
| NPI number | 1255682589 |
|---|---|
| LBN Legal business name | Iselin, Tinsley Simonds |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2012 |
| Last updated | Sep 26th, 2012 - about 14 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 | 1255682589 | NPPES |
| Other | C0004858 | MARYLAND LICENSE | |
| Other | 0110004018 | MARYLAND LICENSE |
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