Tilley, Absalom H
Tilley, Absalom H is an sole proprietor health care provider with primary practice located at 1003 Schneider Dr , Malvern AR 72104-4811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tilley, Absalom H can be contacted via phone (501) 337-5678.Contact Information
Primary practice address
1003 Schneider Dr
Malvern AR 72104-4811
Phone: (501) 337-5678
Fax: (501) 332-6759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36912 | Oklahoma |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.00655596 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C7758 | Arkansas |
Profile Details
| NPI number | 1275558918 |
|---|---|
| LBN Legal business name | Tilley, Absalom H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275558918 | NPPES |
| Arkansas | MEDICAID | 117040001 |
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