Gillikin, Tanya Jo
Gillikin, Tanya Jo is an sole proprietor health care provider with primary practice located at 102 Eastbrook Dr Suite C, Greenville NC 27858-4211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gillikin, Tanya Jo can be contacted via phone (252) 830-0245.Contact Information
Primary practice address
102 Eastbrook Dr Suite C
Greenville NC 27858-4211
Phone: (252) 830-0245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3828 | North Carolina |
Profile Details
| NPI number | 1922219369 |
|---|---|
| LBN Legal business name | Gillikin, Tanya Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922219369 | NPPES |
| North Carolina | MEDICAID | 7301268 |
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