Tollett, Tanner N

Tollett, Tanner N is an individual health care provider with primary practice located at 2350 Meadows Blvd , Castle Rock CO 80109-8405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tollett, Tanner N can be contacted via phone (720) 455-0655.

Contact Information

Primary practice address
2350 Meadows Blvd Castle Rock CO 80109-8405
Fax: (720) 455-0065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0051753 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 51753 Colorado

Profile Details

NPI number 1700015286
LBN Legal business name Tollett, Tanner N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Jan 26th, 2023 - about 3 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 1700015286 NPPES
Colorado MEDICAID 65832221

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