Tanski, Therese

Tanski, Therese is an individual health care provider with primary practice located at 47601 Grand River Ave , Novi MI 48374-1233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Tanski, Therese can be contacted via phone (248) 465-4100.

Contact Information

Primary practice address
47601 Grand River Ave Novi MI 48374-1233
Phone: (248) 465-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 561897 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704263809 Michigan

Profile Details

NPI number 1497729461
LBN Legal business name Tanski, Therese
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497729461 NPPES
Texas MEDICAID 002420004
Texas MEDICAID 002420002
Texas Other 561897
Texas Other P00145819

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