Tilyou, Mark Edward
Tilyou, Mark Edward is an individual health care provider with primary practice located at 222 Chestnut Ave , Altoona PA 16601-4928. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Tilyou, Mark Edward can be contacted via phone (814) 946-8046.Contact Information
Primary practice address
222 Chestnut Ave
Altoona PA 16601-4928
Phone: (814) 946-8046
Fax: (814) 946-3693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | MD023252 | Pennsylvania |
Profile Details
| NPI number | 1164420717 |
|---|---|
| LBN Legal business name | Tilyou, Mark Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1164420717 | NPPES |
| Pennsylvania | MEDICAID | 1009212900001 |
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