Tisdale, Sherry Linda

Tisdale, Sherry Linda is an sole proprietor health care provider with primary practice located at 27 Wilmington St , Rochester NY 14620-1929. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Tisdale, Sherry Linda can be contacted via phone (585) 442-6164.

Contact Information

Primary practice address
27 Wilmington St Rochester NY 14620-1929
Phone: (585) 442-6164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 530142-1 New York
Nursing Service Providers / Licensed Practical Nurse 164W00000X 241162-1 New York

Profile Details

NPI number 1306056270
LBN Legal business name Tisdale, Sherry Linda
Credentials NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
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 1306056270 NPPES
New York MEDICAID 01956069

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