Tidwell, James Elliott
Tidwell, James Elliott is an individual health care provider with primary practice located at 2211 Mayfair Dr Ste 305 , Owensboro KY 42301-4572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Tidwell, James Elliott can be contacted via phone (270) 688-3700.Contact Information
Primary practice address
2211 Mayfair Dr Ste 305
Owensboro KY 42301-4572
Phone: (270) 688-3700
Fax: (270) 688-3709
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 47992 | Kentucky |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 47992 | Kentucky |
Profile Details
NPI number | 1942427380 |
---|---|
LBN Legal business name | Tidwell, James Elliott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2007 |
Last updated | Jul 1st, 2021 - about 3 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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