Tilden-Smith, Lori M
Tilden-Smith, Lori M is an individual health care provider with primary practice located at 100 Hazard Ave Ste 101 , Enfield CT 06082-5447. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tilden-Smith, Lori M can be contacted via phone (860) 696-2380.Contact Information
Primary practice address
100 Hazard Ave Ste 101
Enfield CT 06082-5447
Phone: (860) 696-2380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 968 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1160 | Massachusetts |
Profile Details
| NPI number | 1386636223 |
|---|---|
| LBN Legal business name | Tilden-Smith, Lori M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Dec 30th, 2023 - 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.
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