Tilyou, Paul B

Tilyou, Paul B is an individual health care provider with primary practice located at 3112 Clearwater Dr Suite B, Prescott AZ 86205-7187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Tilyou, Paul B can be contacted via phone (928) 541-9885.

Contact Information

Primary practice address
3112 Clearwater Dr Suite B Prescott AZ 86205-7187
Fax: (928) 776-8484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 26138 Arizona

Profile Details

NPI number 1144280009
LBN Legal business name Tilyou, Paul B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 23rd, 2007 - about 17 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 1144280009 NPPES
Arizona MEDICAID 393926

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