Dillman, Brian

Dillman, Brian is an individual health care provider with primary practice located at 306 S Columbia St , Gastonia NC 28054-0450. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dillman, Brian can be contacted via phone (704) 868-2136.

Contact Information

Primary practice address
306 S Columbia St Gastonia NC 28054-0450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003757 North Carolina

Profile Details

NPI number 1386798973
LBN Legal business name Dillman, Brian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 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 1386798973 NPPES
North Carolina MEDICAID 6003765

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