Tenenbaum, Lori R

Tenenbaum, Lori R is an individual health care provider with primary practice located at 4124 Quebec Ave N Ste 207 , New Hope MN 55427-1240. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Tenenbaum, Lori R can be contacted via phone (763) 205-5733.

Contact Information

Primary practice address
4124 Quebec Ave N Ste 207 New Hope MN 55427-1240
Fax: (763) 205-2785
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2018 Minnesota

Profile Details

NPI number 1982816245
LBN Legal business name Tenenbaum, Lori R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Feb 27th, 2012 - about 14 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 1982816245 NPPES
Minnesota Other 1BO81RO BLUE CROSS

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