Tillman, Jacob Gary
Tillman, Jacob Gary is an individual health care provider with primary practice located at 103 Continental Pl Suite 405, Brentwood TN 37027-1041. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Tillman, Jacob Gary can be contacted via phone (877) 977-4630.Contact Information
Primary practice address
103 Continental Pl Suite 405
Brentwood TN 37027-1041
Phone: (877) 977-4630
Fax: (888) 242-7469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1568722700 |
|---|---|
| LBN Legal business name | Tillman, Jacob Gary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | May 22nd, 2012 - about 12 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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