Tanz, Jeanine
Tanz, Jeanine is an individual health care provider with primary practice located at 5500 Murrell Rd Ste 100 , Melbourne FL 32940-6700. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tanz, Jeanine can be contacted via phone (321) 426-7759.Contact Information
Primary practice address
5500 Murrell Rd Ste 100
Melbourne FL 32940-6700
Phone: (321) 426-7759
Fax: (321) 593-0839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 11410404 | Florida |
Profile Details
| NPI number | 1275916926 |
|---|---|
| LBN Legal business name | Tanz, Jeanine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2015 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1275916926 | NPPES |
| Florida | MEDICAID | 019720500 |
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