Till, Jonathan

Till, Jonathan is an sole proprietor health care provider with primary practice located at 3090 Electric Rd Suite B, Roanoke VA 24018-3531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Till, Jonathan can be contacted via phone (540) 772-3978.

Contact Information

Primary practice address
3090 Electric Rd Suite B Roanoke VA 24018-3531
Phone: (540) 772-3978
Fax: (540) 400-0001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101040106 Virginia

Profile Details

NPI number 1497726475
LBN Legal business name Till, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Sep 13th, 2022 - about 2 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 1497726475 NPPES
Virginia MEDICAID 006304427
Virginia Other P00356490
Virginia Other P00277134

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