Von Zumwalt Tisch, Kathryn E
Von Zumwalt Tisch, Kathryn E is an sole proprietor health care provider with primary practice located at 15741 Villa Sierra Rd , Valley Center CA 92082-7655. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Von Zumwalt Tisch, Kathryn E can be contacted via phone (760) 638-0770.Contact Information
Primary practice address
15741 Villa Sierra Rd
Valley Center CA 92082-7655
Phone: (760) 638-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1144829029 |
|---|---|
| LBN Legal business name | Von Zumwalt Tisch, Kathryn E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2020 |
| Last updated | Oct 21st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144829029 | NPPES |
| California | Other | M0589436 | DRIVER LICENSE |
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