Tillman, Jay El
Tillman, Jay El is an sole proprietor health care provider with primary practice located at 6885 Old Hwy 53 , Clearlake CA 95422. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tillman, Jay El can be contacted via phone (707) 995-3235.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | RS2684 | California |
Profile Details
| NPI number | 1154501047 |
|---|---|
| LBN Legal business name | Tillman, Jay El |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Nov 7th, 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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