Tisdale, Michael A

Tisdale, Michael A is an individual health care provider with primary practice located at 308 E. Young St. , Elma WA 98541. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tisdale, Michael A can be contacted via phone (360) 482-2674.

Contact Information

Primary practice address
308 E. Young St. Elma WA 98541
Phone: (360) 482-2674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00003857 Washington

Profile Details

NPI number 1831414796
LBN Legal business name Tisdale, Michael A
Credentials CP00003857
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Apr 5th, 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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