Tisherman, Samuel Aaron

Tisherman, Samuel Aaron is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Tisherman, Samuel Aaron can be contacted via phone (410) 328-6704.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-6704
Fax: (410) 328-4124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D77517 Maryland
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD037034E Pennsylvania

Profile Details

NPI number 1891761292
LBN Legal business name Tisherman, Samuel Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jun 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891761292 NPPES
Pennsylvania MEDICAID 001465048

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