Tennin, L C

Tennin, L C is an individual health care provider with primary practice located at 122 E Academy St , Canton MS 39046-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tennin, L C can be contacted via phone (601) 859-8992.

Contact Information

Primary practice address
122 E Academy St Canton MS 39046-4502
Phone: (601) 859-8992
Fax: (601) 859-5573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09432 Mississippi

Profile Details

NPI number 1275543597
LBN Legal business name Tennin, L C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 27th, 2019 - about 5 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 1275543597 NPPES
Mississippi MEDICAID 00011031

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