Teneyck, Carol Irene
Teneyck, Carol Irene is an individual health care provider with primary practice located at 230 Michigan St Ne Suite 230, Grand Rapids MI 49503-2550. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical is her primary health care specialty. Teneyck, Carol Irene can be contacted via phone (616) 774-2822.Contact Information
Primary practice address
230 Michigan St Ne Suite 230
Grand Rapids MI 49503-2550
Phone: (616) 774-2822
Fax: (616) 391-8665
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 4704119230 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704119230 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical | 364SM0705X | 4704119230 | Michigan |
Profile Details
NPI number | 1255461687 |
---|---|
LBN Legal business name | Teneyck, Carol Irene |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Oct 29th, 2013 - about 12 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 | 1255461687 | NPPES |
Michigan | Other | 500D111930 / 876270 | BCBSM |
Michigan | MEDICAID | 4984741 | BCBSM |
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