Tilley, Stephen B

Tilley, Stephen B is an individual health care provider with primary practice located at 5905 R St , Little Rock AR 72207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tilley, Stephen B can be contacted via phone (501) 663-9415.

Contact Information

Primary practice address
5905 R St Little Rock AR 72207
Phone: (501) 663-9415
Fax: (501) 663-1874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C4672 Arkansas

Profile Details

NPI number 1205833738
LBN Legal business name Tilley, Stephen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205833738 NPPES
Arkansas Other 11217000000 QUALCHOICE
Arkansas Other 01-20334 QUALCHOICE

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