Tallman, Todd Edward

Tallman, Todd Edward is an individual health care provider with primary practice located at 600 Suncrest Towne Centre Suite 310, Morgantown WV 26505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tallman, Todd Edward can be contacted via phone (304) 598-2200.

Contact Information

Primary practice address
600 Suncrest Towne Centre Suite 310 Morgantown WV 26505
Fax: (304) 599-2674
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18947 West Virginia

Profile Details

NPI number 1538146667
LBN Legal business name Tallman, Todd Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated May 24th, 2018 - 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 1538146667 NPPES
West Virginia MEDICAID 0126874000

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