Sisk, Andrew W

Sisk, Andrew W is an sole proprietor health care provider with primary practice located at 1223 Trotwood Ave , Columbia TN 38401-4854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sisk, Andrew W can be contacted via phone (931) 381-4976.

Contact Information

Primary practice address
1223 Trotwood Ave Columbia TN 38401-4854
Fax: (931) 388-0600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 7326 Tennessee

Profile Details

NPI number 1487739181
LBN Legal business name Sisk, Andrew W
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Sep 9th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487739181 NPPES
Tennessee MEDICAID 3173905
Tennessee Other 0020839

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