Tilley, Ronald E
Tilley, Ronald E is an individual health care provider with primary practice located at 2202 E Main St , Mountain View AR 72560-6402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tilley, Ronald E can be contacted via phone (870) 269-4144.Contact Information
Primary practice address
2202 E Main St
Mountain View AR 72560-6402
Phone: (870) 269-4144
Fax: (870) 269-7480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E-6049 | Arkansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E6049 | Arkansas |
Profile Details
| NPI number | 1982823225 |
|---|---|
| LBN Legal business name | Tilley, Ronald E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jan 30th, 2024 - about 2 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 | 1982823225 | NPPES |
| Arkansas | Other | 5H573 | BCBS |
| Arkansas | MEDICAID | 440107501 | BCBS |
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