Tillman, Leslie
Tillman, Leslie is an sole proprietor health care provider with primary practice located at 9850 Key West Ave , Rockville MD 20850-3960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tillman, Leslie can be contacted via phone (301) 765-5400.Contact Information
Primary practice address
9850 Key West Ave
Rockville MD 20850-3960
Phone: (301) 765-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AC001267 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024172978 | Virginia |
Profile Details
| NPI number | 1518396985 |
|---|---|
| LBN Legal business name | Tillman, Leslie |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2013 |
| Last updated | Oct 6th, 2021 - about 5 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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