Tillman, Samuel Joseph
Tillman, Samuel Joseph is an individual health care provider with primary practice located at 4145 S National Ave , Springfield MO 65807-5356. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Tillman, Samuel Joseph can be contacted via phone (417) 815-3229.Contact Information
Primary practice address
4145 S National Ave
Springfield MO 65807-5356
Phone: (417) 815-3229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2019020296 | Missouri |
Profile Details
| NPI number | 1588224612 |
|---|---|
| LBN Legal business name | Tillman, Samuel Joseph |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2019 |
| Last updated | Jun 20th, 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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