Tallman, Michael

Tallman, Michael is an individual health care provider with primary practice located at 1417 Partin Dr N Ste. One, Niceville FL 32578-1430. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tallman, Michael can be contacted via phone (850) 729-0303.

Contact Information

Primary practice address
1417 Partin Dr N Ste. One Niceville FL 32578-1430
Phone: (850) 729-0303
Fax: (850) 729-0305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4031 Florida

Profile Details

NPI number 1760407878
LBN Legal business name Tallman, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 20th, 2011 - about 14 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 1760407878 NPPES
Florida Other 17604047878 NPI

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