Tannir, Justin
Tannir, Justin is an individual health care provider with primary practice located at 5199 N Royal Dr , Traverse City MI 49684-9201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tannir, Justin can be contacted via phone (231) 935-8101.Contact Information
Primary practice address
5199 N Royal Dr
Traverse City MI 49684-9201
Phone: (231) 935-8101
Fax: (231) 346-5926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301092763 | Michigan |
Profile Details
| NPI number | 1578740668 |
|---|---|
| LBN Legal business name | Tannir, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2008 |
| Last updated | May 28th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578740668 | NPPES |
| Michigan | Other | 4301092763 | STATE LICENSE |
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