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Contact Information

DENISE TISDALE
2513 W FAIRMOUNT AVE
BALTIMORE, MD21223-1425
 Phone: 410-646-8044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for DENISE TISDALE · (Female)

NPI Number 1760291199
Status Active
Credentials
Entity Individual
Enumeration date 12/31/2024
Last updated 12/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # MTO162527
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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