Tillman, Anthony

Tillman, Anthony is an individual health care provider with primary practice located at 620 W Grand Ave , Ponca City OK 74601-5123. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tillman, Anthony can be contacted via phone (580) 762-1462.

Contact Information

Primary practice address
620 W Grand Ave Ponca City OK 74601-5123
Phone: (580) 762-1462
Fax: (580) 765-7299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma

Profile Details

NPI number 1225230436
LBN Legal business name Tillman, Anthony
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 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.

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