Tully, John Owen
Tully, John Owen is an individual health care provider with primary practice located at 7580 Northcliff Ave Ste 1000 , Brooklyn OH 44144-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tully, John Owen can be contacted via phone (440) 808-1212.Contact Information
Primary practice address
7580 Northcliff Ave Ste 1000
Brooklyn OH 44144-3271
Phone: (440) 808-1212
Fax: (440) 808-0321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35.097547 | Ohio |
Profile Details
| NPI number | 1265619993 |
|---|---|
| LBN Legal business name | Tully, John Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2008 |
| Last updated | Jan 19th, 2024 - about last year |
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 | 1265619993 | NPPES |
| Ohio | MEDICAID | 0050898 | |
| Ohio | Other | P00992476 |
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