Tilgner, Theron C

Tilgner, Theron C is an individual health care provider with primary practice located at 297 Lake Havasu Ave S Ste 108 , Lake Havasu City AZ 86403-6526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tilgner, Theron C can be contacted via phone (928) 854-3333.

Contact Information

Primary practice address
297 Lake Havasu Ave S Ste 108 Lake Havasu City AZ 86403-6526
Fax: (928) 854-3335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3501 Arizona

Profile Details

NPI number 1497724413
LBN Legal business name Tilgner, Theron C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497724413 NPPES
Arizona MEDICAID 496324

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