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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1063510956 NPPES
West Virginia MEDICAID 0128612000

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