Tezera, Sissay

Tezera, Sissay is an individual health care provider with primary practice located at 18551 W 10 Mile Rd , Southfield MI 48075-2663. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tezera, Sissay can be contacted via phone (248) 443-1995.

Contact Information

Primary practice address
18551 W 10 Mile Rd Southfield MI 48075-2663
Phone: (248) 443-1995
Fax: (248) 443-5573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X ST006145 Michigan

Profile Details

NPI number 1962461509
LBN Legal business name Tezera, Sissay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 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 1962461509 NPPES
Michigan Other 95OF373730 BCBS
Michigan Other ST006145 BCBS

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