Tillman-Smith, Regina
Tillman-Smith, Regina is an sole proprietor health care provider with primary practice located at 103 Commercial St , Brockton MA 02302-3101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tillman-Smith, Regina can be contacted via phone (508) 580-4691.Contact Information
Primary practice address
103 Commercial St
Brockton MA 02302-3101
Phone: (508) 580-4691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 313880 | Massachusetts |
Profile Details
| NPI number | 1023490547 |
|---|---|
| LBN Legal business name | Tillman-Smith, Regina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2015 |
| Last updated | Jun 20th, 2015 - about 11 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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