Till, Matthew W

Till, Matthew W is an individual health care provider with primary practice located at 1701 E Paulding Rd , Fort Wayne IN 46816-1223. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Till, Matthew W can be contacted via phone (260) 456-3429.

Contact Information

Primary practice address
1701 E Paulding Rd Fort Wayne IN 46816-1223
Phone: (260) 456-3429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 26091940A Indiana

Profile Details

NPI number 1518240092
LBN Legal business name Till, Matthew W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2011
Last updated Sep 21st, 2011 - about 14 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.

Request for update

Popular Providers