Tillman, Michael
Tillman, Michael is an individual health care provider with primary practice located at 903 Saint Andrews Blvd Suite B, Charleston SC 29407-7194. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tillman, Michael can be contacted via phone (843) 766-1255.Contact Information
Primary practice address
903 Saint Andrews Blvd Suite B
Charleston SC 29407-7194
Phone: (843) 766-1255
Fax: (843) 766-3157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2109 | South Carolina |
Profile Details
| NPI number | 1083675623 |
|---|---|
| LBN Legal business name | Tillman, Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1083675623 | NPPES |
| South Carolina | MEDICAID | CH2109 |
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