Tilley, James Bradley

Tilley, James Bradley is an individual health care provider with primary practice located at 495 Hogan Rd, Ste 1 , Conway AR 72034. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Tilley, James Bradley can be contacted via phone (501) 327-1150.

Contact Information

Primary practice address
495 Hogan Rd, Ste 1 Conway AR 72034
Phone: (501) 327-1150
Fax: (501) 327-3427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E-2822 Arkansas

Profile Details

NPI number 1932178332
LBN Legal business name Tilley, James Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 4th, 2009 - about 17 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 1932178332 NPPES
Arkansas MEDICAID 146509001

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