Tilton, James Randolph

Tilton, James Randolph is an individual health care provider with primary practice located at 203 Dilts Rd , Ithaca MI 48847-9475. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tilton, James Randolph can be contacted via phone (989) 875-2266.

Contact Information

Primary practice address
203 Dilts Rd Ithaca MI 48847-9475
Phone: (989) 875-2266
Fax: (989) 875-2225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501008948 Michigan

Profile Details

NPI number 1720007248
LBN Legal business name Tilton, James Randolph
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720007248 NPPES
Illinois MEDICAID A2741KD1
Illinois Other 200770947
Illinois Other 650B910270
Illinois Other 607648000
Illinois Other 64-70128
Illinois Other 7594704

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