Individual
BILL TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 ADLER CIR, PORTAGE, IN 46368-6413
(219) 762-3465
Mailing address
1605 ADLER CIR, PORTAGE, IN 46368-6413
(219) 762-3465
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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