Tullis, Gwen Hirsh

Tullis, Gwen Hirsh is an sole proprietor health care provider with primary practice located at 282 Lake Royale 107 Shoshone Drive, Louisburg NC 27549-9517. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Tullis, Gwen Hirsh can be contacted via phone (919) 616-5839.

Contact Information

Primary practice address
282 Lake Royale 107 Shoshone Drive Louisburg NC 27549-9517
Phone: (919) 616-5839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1790055218
LBN Legal business name Tullis, Gwen Hirsh
Credentials LMBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2012
Last updated Jan 18th, 2012 - about 13 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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