Tilton, Lisa Ann
Tilton, Lisa Ann is an individual health care provider with primary practice located at 485 W Main St , Wilmington OH 45177-2174. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tilton, Lisa Ann can be contacted via phone (513) 834-7063.Contact Information
Primary practice address
485 W Main St
Wilmington OH 45177-2174
Phone: (513) 834-7063
Fax: (513) 873-1567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.172142 | Ohio |
Profile Details
| NPI number | 1770121238 |
|---|---|
| LBN Legal business name | Tilton, Lisa Ann |
| Credentials | CDCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2019 |
| Last updated | Jan 9th, 2020 - about 5 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 | 1770121238 | NPPES |
| Ohio | MEDICAID | 0384127 |
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