Tisdale, Jill Rogers

Tisdale, Jill Rogers is an individual health care provider with primary practice located at 318 E Main St , Lake City SC 29560-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Tisdale, Jill Rogers can be contacted via phone (843) 374-2393.

Contact Information

Primary practice address
318 E Main St Lake City SC 29560-2116
Phone: (843) 374-2393
Fax: (843) 374-7245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 180404 South Carolina

Profile Details

NPI number 1720426422
LBN Legal business name Tisdale, Jill Rogers
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 2013 - about 11 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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