Tan, Tedman Lucero
Tan, Tedman Lucero is an sole proprietor health care provider with primary practice located at 238 W Chestnut Ave , Vineland NJ 08360-5550. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Tan, Tedman Lucero can be contacted via phone (856) 691-2152.Contact Information
Primary practice address
238 W Chestnut Ave
Vineland NJ 08360-5550
Phone: (856) 691-2152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00343900 | New Jersey |
Profile Details
| NPI number | 1568857365 |
|---|---|
| LBN Legal business name | Tan, Tedman Lucero |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2015 |
| Last updated | May 13th, 2019 - about 6 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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