Tilt, Elizabeth Ellen
Tilt, Elizabeth Ellen is an sole proprietor health care provider with primary practice located at 511 Lisa Carol Dr , Mooresville NC 28115-7903. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Tilt, Elizabeth Ellen can be contacted via phone (704) 651-3907.Contact Information
Primary practice address
511 Lisa Carol Dr
Mooresville NC 28115-7903
Phone: (704) 651-3907
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 95-00744 | North Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 95-00744 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9500744 | North Carolina |
Profile Details
| NPI number | 1073566014 |
|---|---|
| LBN Legal business name | Tilt, Elizabeth Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 9th, 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 | 1073566014 | NPPES |
| North Carolina | MEDICAID | 8983534 |
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