Tillis, John Barry
Tillis, John Barry is an sole proprietor health care provider with primary practice located at 7117 Crimson Ridge Dr Suite 5, Rockford IL 61107-6208. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tillis, John Barry can be contacted via phone (815) 395-0327.Contact Information
Primary practice address
7117 Crimson Ridge Dr Suite 5
Rockford IL 61107-6208
Phone: (815) 395-0327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019-019019783 | Illinois |
Profile Details
| NPI number | 1790728236 |
|---|---|
| LBN Legal business name | Tillis, John Barry |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 28th, 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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