Tillman, Mushina
Tillman, Mushina is an sole proprietor health care provider with primary practice located at 19358 N Lousandra Dr , Maricopa AZ 85138-5776. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Tillman, Mushina can be contacted via phone (708) 264-8280.Contact Information
Primary practice address
19358 N Lousandra Dr
Maricopa AZ 85138-5776
Phone: (708) 264-8280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 8863183 | Arizona |
Profile Details
| NPI number | 1154974814 |
|---|---|
| LBN Legal business name | Tillman, Mushina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2019 |
| Last updated | Jul 22nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154974814 | NPPES |
| Arizona | Other | 8863183 | THERAPEUTIC FOSTER CARE |
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