Tisdale, James
Tisdale, James is an sole proprietor health care provider with primary practice located at 711 Avignon Dr , Ridgeland MS 39157-5120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tisdale, James can be contacted via phone (601) 605-6777.Contact Information
Primary practice address
711 Avignon Dr
Ridgeland MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 607-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT3382 | Mississippi |
Profile Details
| NPI number | 1477957694 |
|---|---|
| LBN Legal business name | Tisdale, James |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2014 |
| Last updated | Oct 17th, 2014 - about 12 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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