Tanner, John M

Tanner, John M is an sole proprietor health care provider with primary practice located at 601 Dr Martin Luther King Jr Ave Ne Inpatient Neurology, Albuquerque NM 87102-3619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tanner, John M can be contacted via phone (505) 238-3168.

Contact Information

Primary practice address
601 Dr Martin Luther King Jr Ave Ne Inpatient Neurology Albuquerque NM 87102-3619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD 2009 0170 New Mexico

Profile Details

NPI number 1235240599
LBN Legal business name Tanner, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 20th, 2015 - about 10 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 1235240599 NPPES
New Mexico MEDICAID 6836569

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