Johanns, Tanner Michael
Johanns, Tanner Michael is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Medical Oncology, Ste 7A, 7B, 7C, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Johanns, Tanner Michael can be contacted via phone (800) 647-2098.Contact Information
Primary practice address
4921 Parkview Pl Div Im Medical Oncology, Ste 7A, 7B, 7C
Saint Louis MO 63110-1032
Phone: (800) 647-2098
Fax: (314) 362-3192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 2013039279 | Missouri |
Profile Details
| NPI number | 1619222502 |
|---|---|
| LBN Legal business name | Johanns, Tanner Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Apr 17th, 2025 - about last year |
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 | 1619222502 | NPPES |
| Missouri | MEDICAID | 200059128 |
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