Tilton, Theresa Mae

Tilton, Theresa Mae is an individual health care provider with primary practice located at 3021 Windermere Road , Lexington KY 40502-2950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Tilton, Theresa Mae can be contacted via phone (859) 278-5270.

Contact Information

Primary practice address
3021 Windermere Road Lexington KY 40502-2950
Phone: (859) 278-5270
Fax: (229) 928-3492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME74267 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34103 Kentucky

Profile Details

NPI number 1497752588
LBN Legal business name Tilton, Theresa Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 15th, 2012 - about 12 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 1497752588 NPPES
Other 300138462 RR
MEDICAID 488628 RR
MEDICAID 808323500 RR
Other P00922044 RR
Other 42591 RR
MEDICAID 03083272 RR
MEDICAID 221123800 RR
MEDICAID 64927270 RR
MEDICAID 263513500 RR

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