Tillman, Carolyn Fetzer

Tillman, Carolyn Fetzer is an individual health care provider with primary practice located at 35 Pleasant Street Suite 2B, Meriden CT 06450. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tillman, Carolyn Fetzer can be contacted via phone (203) 237-6400.

Contact Information

Primary practice address
35 Pleasant Street Suite 2B Meriden CT 06450
Fax: (203) 237-9769
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5279 Connecticut

Profile Details

NPI number 1629176201
LBN Legal business name Tillman, Carolyn Fetzer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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