Tullis, Joe Mitchell

Tullis, Joe Mitchell is an individual health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tullis, Joe Mitchell can be contacted via phone (870) 425-6322.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653-2955
Phone: (870) 425-6322
Fax: (870) 424-5859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R-2382 Arkansas

Profile Details

NPI number 1891760864
LBN Legal business name Tullis, Joe Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 18th, 2010 - about 15 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 1891760864 NPPES
Arkansas MEDICAID 101051001

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