National Provider Identifier Database

KENNETH D TISDALE, L.C.I.C.I., LMT #548 – NPI #1962709956
Contractor

A contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.


Contact Information

KENNETH D TISDALE, L.C.I.C.I., LMT #548
201 EUBANK BLVD NE
B1
ALBUQUERQUE, NM87123
Phone: 505-712-7585
Fax:
Website:
Specialty Taxonomy Code
* Contractor 171W00000X

* Indicates primary specialty

NPI Profile & details for KENNETH D TISDALE

NPI Number 1962709956
Credentials L.C.I.C.I., LMT #548
Entity Individual
Enumeration date 02/28/2011
Last updated 02/28/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • NM License #: LMT # 5488
Hospital affiliation n/a

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.

Reviews for KENNETH D TISDALE, L.C.I.C.I., LMT #548

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