Tilly, Jeff
Tilly, Jeff is an individual health care provider with primary practice located at 1800 Lincoln Ave , Evansville IN 47722-1000. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Tilly, Jeff can be contacted via phone (812) 488-1054.Contact Information
Primary practice address
1800 Lincoln Ave
Evansville IN 47722-1000
Phone: (812) 488-1054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36000423A | Indiana |
Profile Details
| NPI number | 1750881769 |
|---|---|
| LBN Legal business name | Tilly, Jeff |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2018 |
| Last updated | Feb 16th, 2018 - about 8 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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