Tillmanns, Todd D
Tillmanns, Todd D is an individual health care provider with primary practice located at 7945 Wolf River Boulevard , Germantown TN 38138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Tillmanns, Todd D can be contacted via phone (901) 683-0055.Contact Information
Primary practice address
7945 Wolf River Boulevard
Germantown TN 38138
Phone: (901) 683-0055
Fax: (901) 922-6701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 18211 | Mississippi |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 37514 | Tennessee |
Profile Details
| NPI number | 1720017577 |
|---|---|
| LBN Legal business name | Tillmanns, Todd D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jul 13th, 2023 - about last year |
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 | 1720017577 | NPPES |
| Missouri | MEDICAID | 209044718 | |
| Missouri | Other | 735243 | |
| Missouri | Other | 99539 | |
| Missouri | MEDICAID | 150946001 | |
| Missouri | MEDICAID | 3885476 | |
| Missouri | MEDICAID | 02074591 | |
| Missouri | Other | 4101165 |
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