Jenkins, Tessy C

Jenkins, Tessy C is an sole proprietor health care provider with primary practice located at 27200 Lahser Rd Suite 100, Southfield MI 48034. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Jenkins, Tessy C can be contacted via phone (248) 208-9215.

Contact Information

Primary practice address
27200 Lahser Rd Suite 100 Southfield MI 48034
Fax: (248) 208-9217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301058568 Michigan
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 4301058568 Michigan

Profile Details

NPI number 1548269897
LBN Legal business name Jenkins, Tessy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Oct 18th, 2010 - about 14 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 1548269897 NPPES
Michigan Other 5535883 FIRST HEALTH
Michigan Other 1306303571 FIRST HEALTH
Michigan MEDICAID 4639614 FIRST HEALTH
Michigan Other P111695 FIRST HEALTH
Michigan Other 7794125 FIRST HEALTH
Michigan Other G35452 FIRST HEALTH

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