Tilley, Martin George
Tilley, Martin George is an sole proprietor health care provider with primary practice located at 516 W 39Th St Suite D Tower Plaza, Kearney NE 68845-2881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tilley, Martin George can be contacted via phone (308) 865-2577.Contact Information
Primary practice address
516 W 39Th St Suite D Tower Plaza
Kearney NE 68845-2881
Phone: (308) 865-2577
Fax: (308) 234-9526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 16420 | Nebraska |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4560 | Nebraska |
Profile Details
| NPI number | 1134295389 |
|---|---|
| LBN Legal business name | Tilley, Martin George |
| Credentials | M.D., D.D.S., P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1134295389 | NPPES |
| Nebraska | Other | 3663 | BLUE CROSS BLUE SHIELD |
| Nebraska | MEDICAID | 47067456101 | BLUE CROSS BLUE SHIELD |
| Nebraska | Other | 5400 | BLUE CROSS BLUE SHIELD |
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