Jambudi, Tejas Prakashchandra
Jambudi, Tejas Prakashchandra is an individual health care provider with primary practice located at 555 S Mission St , Mount Pleasant MI 48858-2846. 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. Jambudi, Tejas Prakashchandra can be contacted via phone (989) 772-7755.Contact Information
Primary practice address
555 S Mission St
Mount Pleasant MI 48858-2846
Phone: (989) 772-7755
Fax: (989) 772-7750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501013499 | Michigan |
Profile Details
| NPI number | 1871825059 |
|---|---|
| LBN Legal business name | Jambudi, Tejas Prakashchandra |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Feb 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871825059 | NPPES |
| Michigan | Other | 5501013499 | STATE OF MICHIGAN |
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