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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649258765 | NPPES |
| Pennsylvania | MEDICAID | 0011775800010 |
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