Tiller, David
Tiller, David is an individual health care provider with primary practice located at 2601 Spencer Rd , Spencer OK 73084-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Tiller, David can be contacted via phone (405) 427-2441.Contact Information
Primary practice address
2601 Spencer Rd
Spencer OK 73084-3649
Phone: (405) 427-2441
Fax: (405) 427-4741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 26522 | Oklahoma |
Profile Details
| NPI number | 1336155373 |
|---|---|
| LBN Legal business name | Tiller, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Sep 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336155373 | NPPES |
| Other | MDG232 | PREFERRED CARE | |
| Other | P010204490 | PREFERRED CARE | |
| Other | P00115455 | PREFERRED CARE |
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