Tillotson, Nathan

Tillotson, Nathan is an individual health care provider with primary practice located at 315 E Elm St Ste 310 , Caldwell ID 83605-4881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Tillotson, Nathan can be contacted via phone (208) 454-2035.

Contact Information

Primary practice address
315 E Elm St Ste 310 Caldwell ID 83605-4881
Phone: (208) 454-2035
Fax: (208) 454-1065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 02426 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 0546950 Kansas

Profile Details

NPI number 1770670473
LBN Legal business name Tillotson, Nathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Apr 3rd, 2023 - about 2 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 1770670473 NPPES
Oklahoma MEDICAID 200048030A

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