Tillotson, Donna B.

Tillotson, Donna B. is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Tillotson, Donna B. can be contacted via phone (719) 584-4595.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Fax: (719) 584-4861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31344 Colorado

Profile Details

NPI number 1689657678
LBN Legal business name Tillotson, Donna B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1689657678 NPPES
Colorado MEDICAID 01313444

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