Tillisch, Jennifer A
Tillisch, Jennifer A is an individual health care provider with primary practice located at 4227 9Th Ave Sw , Fargo ND 58103-2018. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tillisch, Jennifer A can be contacted via phone (701) 478-9535.Contact Information
Primary practice address
4227 9Th Ave Sw
Fargo ND 58103-2018
Phone: (701) 478-9535
Fax: (701) 365-0021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1688 | North Dakota |
Profile Details
| NPI number | 1992043038 |
|---|---|
| LBN Legal business name | Tillisch, Jennifer A |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2013 |
| Last updated | Jan 24th, 2013 - 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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