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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780653071 | NPPES |
| Illinois | Other | 350056091 | RR MEDICARE |
| Illinois | Other | 1622660 | RR MEDICARE |
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