Tilly, Shannon L
Tilly, Shannon L is an individual health care provider with primary practice located at 1525 W 2100 S , Salt Lake City UT 84119-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tilly, Shannon L can be contacted via phone (801) 213-9900.Contact Information
Primary practice address
1525 W 2100 S
Salt Lake City UT 84119-1401
Phone: (801) 213-9900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 54125001205 | Utah |
Profile Details
| NPI number | 1093767196 |
|---|---|
| LBN Legal business name | Tilly, Shannon L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 10th, 2021 - about 3 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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