Tullis, Timothy Allen

Tullis, Timothy Allen is an sole proprietor health care provider with primary practice located at 600 Highland Ave Compliance Mail Code 2433, Madison WI 53792-0001. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tullis, Timothy Allen can be contacted via phone (608) 662-0817.

Contact Information

Primary practice address
600 Highland Ave Compliance Mail Code 2433 Madison WI 53792-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11426-040 Wisconsin

Profile Details

NPI number 1467518993
LBN Legal business name Tullis, Timothy Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 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 1467518993 NPPES
Wisconsin Other 11426-040 PHARMACIST

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