Tanner, Justin T
Tanner, Justin T is an individual health care provider with primary practice located at 900 Wilkinson St , Mandeville LA 70448-3533. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Tanner, Justin T can be contacted via phone (985) 624-4450.Contact Information
Primary practice address
900 Wilkinson St
Mandeville LA 70448-3533
Phone: (985) 624-4450
Fax: (985) 624-4461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1265108260 |
|---|---|
| LBN Legal business name | Tanner, Justin T |
| Credentials | PSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2021 |
| Last updated | Aug 19th, 2021 - about 4 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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