Tillapaugh, William Walter
Tillapaugh, William Walter is an individual health care provider with primary practice located at 3857 State Route 31 , Liverpool NY 13090-1309. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tillapaugh, William Walter can be contacted via phone (315) 652-5190.Contact Information
Primary practice address
3857 State Route 31
Liverpool NY 13090-1309
Phone: (315) 652-5190
Fax: (315) 652-5190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 026760 | New York |
Profile Details
| NPI number | 1982878260 |
|---|---|
| LBN Legal business name | Tillapaugh, William Walter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Apr 17th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982878260 | NPPES |
| New York | MEDICAID | 02348103 |
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