Lilly, Timothy J.

Lilly, Timothy J. is an individual health care provider with primary practice located at 432 Hillcrest Ave Suite 3, Grove City PA 16127-1708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lilly, Timothy J. can be contacted via phone (724) 615-9193.

Contact Information

Primary practice address
432 Hillcrest Ave Suite 3 Grove City PA 16127-1708
Phone: (724) 615-9193
Fax: (724) 458-6689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS006328L Pennsylvania

Profile Details

NPI number 1649258765
LBN Legal business name Lilly, Timothy J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 5th, 2017 - about 7 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 1649258765 NPPES
Pennsylvania MEDICAID 0011775800010

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