Tiley, Edward Henry
Tiley, Edward Henry is an sole proprietor health care provider with primary practice located at 9 Courtney Dr , Charleston WV 25304-2699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Tiley, Edward Henry can be contacted via phone (304) 925-3115.Contact Information
Primary practice address
9 Courtney Dr
Charleston WV 25304-2699
Phone: (304) 925-3115
Fax: (304) 925-2088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 12774 | West Virginia |
Profile Details
| NPI number | 1063510956 |
|---|---|
| LBN Legal business name | Tiley, Edward Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 23rd, 2012 - about 12 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 | 1063510956 | NPPES |
| West Virginia | MEDICAID | 0128612000 |
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