Tannenbaum, Michael G

Tannenbaum, Michael G is an individual health care provider with primary practice located at 4059 Stone School Rd , Ann Arbor MI 48108-9723. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tannenbaum, Michael G can be contacted via phone (734) 929-0444.

Contact Information

Primary practice address
4059 Stone School Rd Ann Arbor MI 48108-9723
Fax: (734) 929-0350
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008615 Michigan

Profile Details

NPI number 1992845598
LBN Legal business name Tannenbaum, Michael G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 16th, 2008 - about 16 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 1992845598 NPPES
Michigan MEDICAID 4755140
Michigan Other NC011916

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