Crump, Tanisha Lanai

Crump, Tanisha Lanai is an individual health care provider with primary practice located at 24576 Orangelawn 24576 Orangelawn, Redford MI 48239. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Crump, Tanisha Lanai can be contacted via phone (313) 828-7756.

Contact Information

Primary practice address
24576 Orangelawn 24576 Orangelawn Redford MI 48239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1497414619
LBN Legal business name Crump, Tanisha Lanai
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2021
Last updated Dec 15th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497414619 NPPES
Michigan MEDICAID C651785488138

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