Tilgner, Summer Yvonne

Tilgner, Summer Yvonne is an sole proprietor health care provider with primary practice located at 297 S. Lake Havasu Avenue Ste 200, Lake Havasu City AZ 86403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tilgner, Summer Yvonne can be contacted via phone (928) 854-7666.

Contact Information

Primary practice address
297 S. Lake Havasu Avenue Ste 200 Lake Havasu City AZ 86403
Phone: (928) 854-7666
Fax: (928) 854-7660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3726 Arizona

Profile Details

NPI number 1265745277
LBN Legal business name Tilgner, Summer Yvonne
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2010
Last updated Jun 23rd, 2014 - about 11 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 1265745277 NPPES
Arizona MEDICAID 583431

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