Tankanow, Larry B
Tankanow, Larry B is an individual health care provider with primary practice located at 27472 Schoenherr Rd Ste 100 , Warren MI 48088-6675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Tankanow, Larry B can be contacted via phone (586) 751-8844.Contact Information
Primary practice address
27472 Schoenherr Rd Ste 100
Warren MI 48088-6675
Phone: (586) 751-8844
Fax: (586) 751-8596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301045330 | Michigan |
Profile Details
| NPI number | 1073598827 |
|---|---|
| LBN Legal business name | Tankanow, Larry B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | May 16th, 2022 - about 3 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 | 1073598827 | NPPES |
| Michigan | MEDICAID | 4559970 |
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