Tillman, Kristy L

Tillman, Kristy L is an individual health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. 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. Tillman, Kristy L can be contacted via phone (753) 933-1685.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Fax: (575) 397-4659
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0158041 New Mexico

Profile Details

NPI number 1295382919
LBN Legal business name Tillman, Kristy L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2019
Last updated Aug 19th, 2019 - about 7 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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