Tolliver, Dennis
Tolliver, Dennis is an sole proprietor health care provider with primary practice located at 6821 W Maldonado Rd , Laveen AZ 85339-2679. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Tolliver, Dennis can be contacted via phone (602) 682-7584.Contact Information
Primary practice address
6821 W Maldonado Rd
Laveen AZ 85339-2679
Phone: (602) 682-7584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 3936 | Arizona |
Profile Details
| NPI number | 1760559132 |
|---|---|
| LBN Legal business name | Tolliver, Dennis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1760559132 | NPPES |
| Arizona | Other | 717697 | AHCCCS |
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