Tilles, Steven M
Tilles, Steven M is an sole proprietor health care provider with primary practice located at 2505 Samaritan Dr Suite 405, San Jose CA 95124-4013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tilles, Steven M can be contacted via phone (408) 356-8133.Contact Information
Primary practice address
2505 Samaritan Dr Suite 405
San Jose CA 95124-4013
Phone: (408) 356-8133
Fax: (408) 356-6923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G40389 | California |
Profile Details
| NPI number | 1841292745 |
|---|---|
| LBN Legal business name | Tilles, Steven M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 11th, 2010 - about 15 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 | 1841292745 | NPPES |
| California | MEDICAID | 00G403890 |
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