Tillman, Bryan W

Tillman, Bryan W is an individual health care provider with primary practice located at 1800 Zollinger Rd Fl 2 , Columbus OH 43221-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Tillman, Bryan W can be contacted via phone (614) 293-8536.

Contact Information

Primary practice address
1800 Zollinger Rd Fl 2 Columbus OH 43221-2800
Phone: (614) 293-8536
Fax: (614) 293-8902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35086611 Ohio

Profile Details

NPI number 1902836398
LBN Legal business name Tillman, Bryan W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 16th, 2020 - about 6 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 1902836398 NPPES
Ohio MEDICAID 2987513

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