Tananis, Leonard John

Tananis, Leonard John is an individual health care provider with primary practice located at 1580 Skeet Club Rd , High Point NC 27265-9530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tananis, Leonard John can be contacted via phone (368) 883-0029.

Contact Information

Primary practice address
1580 Skeet Club Rd High Point NC 27265-9530
Fax: (368) 830-8673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9501124 North Carolina

Profile Details

NPI number 1336254697
LBN Legal business name Tananis, Leonard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 26th, 2024 - about 2 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 1336254697 NPPES
North Carolina MEDICAID 891197M

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