Tanem, Justinn
Tanem, Justinn is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Tanem, Justinn can be contacted via phone (414) 266-3560.Contact Information
Primary practice address
9000 W Wisconsin Ave
Milwaukee WI 53226-4874
Phone: (414) 266-3560
Fax: (414) 266-6092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 61773 | Wisconsin |
Profile Details
| NPI number | 1780950964 |
|---|---|
| LBN Legal business name | Tanem, Justinn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2012 |
| Last updated | Apr 23rd, 2024 - about 2 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 | 1780950964 | NPPES |
| Wisconsin | MEDICAID | 1780950964 |
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