Tenney, Jared

Tenney, Jared is an individual health care provider with primary practice located at 903 E State Highway 260 Ste 1, Payson AZ 85541-4972. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tenney, Jared can be contacted via phone (928) 474-0429.

Contact Information

Primary practice address
903 E State Highway 260 Ste 1 Payson AZ 85541-4972
Phone: (928) 474-0429
Fax: (928) 474-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5064 Arizona

Profile Details

NPI number 1255334694
LBN Legal business name Tenney, Jared
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 9th, 2007 - about 18 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 1255334694 NPPES
Arizona Other AZ0295990 BCBS AZ
Arizona MEDICAID 545098 BCBS AZ
Arizona MEDICAID F02383 BCBS AZ
Arizona Other 1Z6798 BCBS AZ
Arizona Other 64-00187 BCBS AZ

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