Tanner, Tina Louise
Tanner, Tina Louise is an individual health care provider with primary practice located at 2006 Holton Rd , Muskegon MI 49445-1505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tanner, Tina Louise can be contacted via phone (231) 672-3333.Contact Information
Primary practice address
2006 Holton Rd
Muskegon MI 49445-1505
Phone: (231) 672-3333
Fax: (231) 672-3465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301070365 | Michigan |
Profile Details
| NPI number | 1881645513 |
|---|---|
| LBN Legal business name | Tanner, Tina Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 5th, 2019 - about 5 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 | 1881645513 | NPPES |
| Michigan | Other | N28430 | MEDICARE PTAN |
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