Tisch, Jeffrey Michael
Tisch, Jeffrey Michael is an individual health care provider with primary practice located at 6908 Providence Park Dr S , Mobile AL 36695-4600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Tisch, Jeffrey Michael can be contacted via phone (251) 660-3490.Contact Information
Primary practice address
6908 Providence Park Dr S
Mobile AL 36695-4600
Phone: (251) 660-3490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | DO.2135 | Alabama |
Profile Details
| NPI number | 1194220384 |
|---|---|
| LBN Legal business name | Tisch, Jeffrey Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2018 |
| Last updated | Oct 23rd, 2023 - 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.
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