Tillman, Timothy

Tillman, Timothy is an sole proprietor health care provider with primary practice located at 1995 Campus Dr , Fairborn OH 45324-3950. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Tillman, Timothy can be contacted via phone (937) 542-1425.

Contact Information

Primary practice address
1995 Campus Dr Fairborn OH 45324-3950
Phone: (937) 542-1425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1568818037
LBN Legal business name Tillman, Timothy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2016
Last updated May 13th, 2016 - about 9 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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