Charles R. Tilley Jr.
Physician Assistant · Le Mars, IA
Practice location
180 10TH St SE Ste 201Le Mars, IA 51031-2557
- Phone
- (712) 546-4624
- Fax
- (712) 546-9395
NPI record
- NPI
- 1467502286
- Entity type
- Individual (Type 1)
- Enumeration date
- January 12, 2007
- Last updated
- October 19, 2022
- Certified
- October 19, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
001775 | IA |
| Physician Assistant | 363A00000X |
1409 | NE |
Mailing address
PO Box 70Le Mars, IA 51031-0070
- Phone
- (712) 546-4624
- Fax
- (712) 546-9395
About Charles Tilley
Charles R. Tilley Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 180 10TH St SE Ste 201, Le Mars, IA 51031-2557. The NPI number 1467502286 was assigned on January 12, 2007 and the record was last updated on October 19, 2022.
Charles Tilley lists 2 licenses in the registry: #001775 (IA) for Physician Assistant; #1409 (NE) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Charles R. Tilley Jr.?
The NPI number is 1467502286.
What is the phone number of Charles Tilley?
The phone number listed for the practice location is (712) 546-4624.
Where is Charles Tilley located?
180 10TH St SE Ste 201, Le Mars, IA 51031-2557.
What is the taxonomy code for Charles Tilley?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.