Tennesen, Richard R

Tennesen, Richard R is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tennesen, Richard R can be contacted via phone (717) 782-3282.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Phone: (717) 782-3282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN546471 Pennsylvania

Profile Details

NPI number 1952589509
LBN Legal business name Tennesen, Richard R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Jan 9th, 2021 - about 3 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 1952589509 NPPES
Pennsylvania MEDICAID 102384386

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