Tanco, Justin
Tanco, Justin is an individual health care provider with primary practice located at Bldg. 159 Trout Ave , Groton CT 06349. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Tanco, Justin can be contacted via phone (860) 694-2876.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1255183067 |
|---|---|
| LBN Legal business name | Tanco, Justin |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2024 |
| Last updated | Apr 4th, 2024 - about 7 months 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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