Tillman, Ricky

Tillman, Ricky is an sole proprietor health care provider with primary practice located at 9111 Cross Park Dr Suite D200, Knoxville TN 37923-4506. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Tillman, Ricky can be contacted via phone (919) 394-4169.

Contact Information

Primary practice address
9111 Cross Park Dr Suite D200 Knoxville TN 37923-4506
Phone: (919) 394-4169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Tennessee

Profile Details

NPI number 1205222312
LBN Legal business name Tillman, Ricky
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2015
Last updated Apr 15th, 2015 - about 10 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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