Tillisch, Janet K

Tillisch, Janet K is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tillisch, Janet K can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4237 North Dakota

Profile Details

NPI number 1417988163
LBN Legal business name Tillisch, Janet K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 3rd, 2011 - about 14 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 1417988163 NPPES
North Dakota Other ND100012 LHS #
North Dakota MEDICAID 015795300 LHS #
North Dakota Other 28064TI LHS #
North Dakota Other 91423TI LHS #
North Dakota Other 1201177 LHS #
North Dakota Other 1203181 LHS #
North Dakota Other 142074 LHS #
North Dakota Other 1877 LHS #
North Dakota MEDICAID 10168 LHS #
North Dakota Other 1201797 LHS #
North Dakota Other 6419 LHS #
North Dakota Other 765120 LHS #
North Dakota Other 8253 LHS #
North Dakota Other DA9011015596 LHS #
North Dakota Other HP19569 LHS #

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