Tillman, Sharon

Tillman, Sharon is an sole proprietor health care provider with primary practice located at 3368 E 66Th St , Cleveland OH 44127-1905. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Tillman, Sharon can be contacted via phone (216) 341-0208.

Contact Information

Primary practice address
3368 E 66Th St Cleveland OH 44127-1905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X PN.084599-MEDS Ohio

Profile Details

NPI number 1215337142
LBN Legal business name Tillman, Sharon
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2014
Last updated Aug 28th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215337142 NPPES
Ohio MEDICAID 0125671

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