Tannenbaum, Sigmund Ian

Tannenbaum, Sigmund Ian is an individual health care provider with primary practice located at 509 N Elam Ave Fl 2 , Greensboro NC 27403-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tannenbaum, Sigmund Ian can be contacted via phone (336) 274-1114.

Contact Information

Primary practice address
509 N Elam Ave Fl 2 Greensboro NC 27403-1157
Phone: (336) 274-1114
Fax: (336) 232-5325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20977 North Carolina

Profile Details

NPI number 1225024540
LBN Legal business name Tannenbaum, Sigmund Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 11th, 2011 - about 13 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 1225024540 NPPES
North Carolina Other 81526 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8981526 BLUE CROSS BLUE SHIELD

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