Tietsworth, James H

Tietsworth, James H is an individual health care provider with primary practice located at 2595 Harbor Blvd Suite 207, Port Charlotte FL 33952-6724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tietsworth, James H can be contacted via phone (941) 629-3937.

Contact Information

Primary practice address
2595 Harbor Blvd Suite 207 Port Charlotte FL 33952-6724
Phone: (941) 629-3937
Fax: (941) 627-2281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0069812 Florida

Profile Details

NPI number 1487676714
LBN Legal business name Tietsworth, James H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1487676714 NPPES
Florida MEDICAID 2546622100

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