Dillman, Brian
Dillman, Brian is an individual health care provider with primary practice located at 306 S Columbia St , Gastonia NC 28054-0450. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dillman, Brian can be contacted via phone (704) 868-2136.Contact Information
Primary practice address
306 S Columbia St
Gastonia NC 28054-0450
Phone: (704) 868-2136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003757 | North Carolina |
Profile Details
| NPI number | 1386798973 |
|---|---|
| LBN Legal business name | Dillman, Brian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1386798973 | NPPES |
| North Carolina | MEDICAID | 6003765 |
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