Tennant, Gary D

Tennant, Gary D is an sole proprietor health care provider with primary practice located at 386 Forest Blvd , Park Forest IL 60466-2005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tennant, Gary D can be contacted via phone (708) 481-1715.

Contact Information

Primary practice address
386 Forest Blvd Park Forest IL 60466-2005
Phone: (708) 481-1715
Fax: (708) 481-8915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-005464 Illinois

Profile Details

NPI number 1780653071
LBN Legal business name Tennant, Gary D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Jan 15th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780653071 NPPES
Illinois Other 350056091 RR MEDICARE
Illinois Other 1622660 RR MEDICARE

Popular Providers