Tilt, Douglas C
Tilt, Douglas C is an individual health care provider with primary practice located at 1521 11Th Ave S , Birmingham AL 35205-3503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tilt, Douglas C can be contacted via phone (205) 996-2760.Contact Information
Primary practice address
1521 11Th Ave S
Birmingham AL 35205-3503
Phone: (205) 996-2760
Fax: (205) 297-9411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 06824 | Alabama |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 6824 | Alabama |
Profile Details
| NPI number | 1871561282 |
|---|---|
| LBN Legal business name | Tilt, Douglas C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 22nd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871561282 | NPPES |
| Alabama | Other | 051517024 | BLUE CROSS |
| Alabama | Other | 110117930 | BLUE CROSS |
| Alabama | MEDICAID | 051553947 | BLUE CROSS |
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