Tillett, Robert Sidney

Tillett, Robert Sidney is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 310 , Louisville KY 40207-4716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tillett, Robert Sidney can be contacted via phone (502) 899-6782.

Contact Information

Primary practice address
3991 Dutchmans Ln Ste 310 Louisville KY 40207-4716
Phone: (502) 899-6782
Fax: (502) 899-6783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20266 Kentucky

Profile Details

NPI number 1134109465
LBN Legal business name Tillett, Robert Sidney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Apr 15th, 2021 - about 3 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 1134109465 NPPES
Kentucky Other 50030136 PASSPORT/PASSPORT ADVANTAGE - NNS
Kentucky Other 000000693343 PASSPORT/PASSPORT ADVANTAGE - NNS
Kentucky Other 118916 PASSPORT/PASSPORT ADVANTAGE - NNS
Kentucky Other 000057043W PASSPORT/PASSPORT ADVANTAGE - NNS
Kentucky MEDICAID 100388800 PASSPORT/PASSPORT ADVANTAGE - NNS
Kentucky Other 2542960 PASSPORT/PASSPORT ADVANTAGE - NNS
Kentucky MEDICAID 64202666 PASSPORT/PASSPORT ADVANTAGE - NNS

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