Wayne S. And Maureen P Tillman Llc
LBN: Wayne S. And Maureen P Tillman Llc
Wayne S. And Maureen P Tillman Llc is an health care organization with primary practice located at 108 Baker St , Maplewood NJ 07040-2531. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Wayne S. And Maureen P Tillman Llc can be contacted via phone (973) 715-6891, or through Tillman, Maureen P via phone (973) 715-6891.
Contact Information
Primary practice address
108 Baker St
Maplewood NJ 07040-2531
Phone: (973) 715-6891
Fax:
Website:
Authorized official contact:
Name: Tillman, Maureen P Licensed Clinical Social Worker (LCSW)
Phone: (973) 715-6891
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1538750500 |
|---|---|
| LBN Legal business name | Wayne S. And Maureen P Tillman Llc |
| DBA Doing business as | |
| Authorized official | Tillman, Maureen P Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2021 |
| Last updated | Feb 1st, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538750500 | NPPES |
| New Jersey | Other | 1427112457 | WAYNE S. TILLMAN |
| New Jersey | Other | 1225361728 | WAYNE S. TILLMAN |
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