Stillson, Tod Alan

Stillson, Tod Alan is an individual health care provider with primary practice located at 209 E Jefferson St , Plymouth IN 46563-1861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stillson, Tod Alan can be contacted via phone (574) 948-5100.

Contact Information

Primary practice address
209 E Jefferson St Plymouth IN 46563-1861
Phone: (574) 948-5100
Fax: (574) 335-0745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01046800 Indiana

Profile Details

NPI number 1427003573
LBN Legal business name Stillson, Tod Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 9th, 2023 - about 3 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 1427003573 NPPES
Indiana MEDICAID 200144530A
Indiana Other 1102361024
Indiana Other 021236800

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