Tillou, John David

Tillou, John David is an individual health care provider with primary practice located at 2710 Prosperity Ave Ste 200, Fairfax VA 22031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Tillou, John David can be contacted via phone (703) 280-2841.

Contact Information

Primary practice address
2710 Prosperity Ave Ste 200 Fairfax VA 22031
Phone: (703) 280-2841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 252747 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101264822 Virginia

Profile Details

NPI number 1518232685
LBN Legal business name Tillou, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Mar 25th, 2019 - about 6 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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