Tillou, John David
Tillou, John David is an individual health care provider with primary practice located at 2710 Prosperity Ave Ste 200, Fairfax VA 22031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Tillou, John David can be contacted via phone (703) 280-2841.Contact Information
Primary practice address
2710 Prosperity Ave Ste 200
Fairfax VA 22031
Phone: (703) 280-2841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 252747 | Massachusetts |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 0101264822 | Virginia |
Profile Details
| NPI number | 1518232685 |
|---|---|
| LBN Legal business name | Tillou, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2012 |
| Last updated | Mar 25th, 2019 - about 7 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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