Tillou, Debra A
Tillou, Debra A is an sole proprietor health care provider with primary practice located at 290 Bremen Rd , Waldoboro ME 04572. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Tillou, Debra A can be contacted via phone (207) 832-6347.Contact Information
Primary practice address
290 Bremen Rd
Waldoboro ME 04572
Phone: (207) 832-6347
Fax: (207) 832-4664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CR875 | Maine |
Profile Details
| NPI number | 1154534527 |
|---|---|
| LBN Legal business name | Tillou, Debra A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Mar 3rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154534527 | NPPES |
| Maine | MEDICAID | 129130099 | |
| Maine | Other | 022301 |
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