Tennyson, Noah Matthew
Tennyson, Noah Matthew is an sole proprietor health care provider with primary practice located at 3732 Nameoki Rd , Granite City IL 62040-3714. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tennyson, Noah Matthew can be contacted via phone (618) 877-6880.Contact Information
Primary practice address
3732 Nameoki Rd
Granite City IL 62040-3714
Phone: (618) 877-6880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 2007025602 | Missouri |
Profile Details
| NPI number | 1194957621 |
|---|---|
| LBN Legal business name | Tennyson, Noah Matthew |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2009 |
| Last updated | Oct 28th, 2011 - about 13 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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