Tillman, Elizabeth A

Tillman, Elizabeth A is an individual health care provider with primary practice located at 100 Grand St Hospital Of Central Connecticut, Dept. Of Medicine, New Britain CT 06052-2016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Tillman, Elizabeth A can be contacted via phone (860) 224-5011.

Contact Information

Primary practice address
100 Grand St Hospital Of Central Connecticut, Dept. Of Medicine New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 043227 Connecticut

Profile Details

NPI number 1326014630
LBN Legal business name Tillman, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 23rd, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326014630 NPPES
Connecticut Other 010043227CT01 BLUE CROSS
Connecticut MEDICAID 001432278 BLUE CROSS

Popular Providers