Tilley, Dena D
Tilley, Dena D is an sole proprietor health care provider with primary practice located at 1551 Bishop St B240, San Luis Obispo CA 93401-4635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Tilley, Dena D can be contacted via phone (805) 549-0402.Contact Information
Primary practice address
1551 Bishop St B240
San Luis Obispo CA 93401-4635
Phone: (805) 549-0402
Fax: (805) 549-0465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 8147 | California |
Profile Details
| NPI number | 1871705251 |
|---|---|
| LBN Legal business name | Tilley, Dena D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2007 |
| Last updated | Jan 28th, 2016 - about 9 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 | 1871705251 | NPPES |
| California | MEDICAID | GR0067850 |
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