Judson, Tennille
Judson, Tennille is an individual health care provider with primary practice located at 5150 Coolidge Hwy , Royal Oak MI 48073-1001. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Judson, Tennille can be contacted via phone (248) 280-5033.Contact Information
Primary practice address
5150 Coolidge Hwy
Royal Oak MI 48073-1001
Phone: (248) 280-5033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 5302033627 | Michigan |
Profile Details
| NPI number | 1164832044 |
|---|---|
| LBN Legal business name | Judson, Tennille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2014 |
| Last updated | May 1st, 2014 - about 10 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 | 1164832044 | NPPES |
| Michigan | Other | 5302033627 | PHARMACIST LICENSE # |
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