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
Phone: (248) 208-9215
Fax: (248) 208-9217
Website:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 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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