Tisdale, John

Tisdale, John is an individual health care provider with primary practice located at Highway 191 And Hospital Road , Chinle AZ 86503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tisdale, John can be contacted via phone (928) 674-7166.

Contact Information

Primary practice address
Highway 191 And Hospital Road Chinle AZ 86503
Phone: (928) 674-7166
Fax: (928) 674-7705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.121001 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.121001 Ohio

Profile Details

NPI number 1649414525
LBN Legal business name Tisdale, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Oct 1st, 2013 - about 13 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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