Teneyck, Carol Irene

Teneyck, Carol Irene is an individual health care provider with primary practice located at 230 Michigan St Ne Suite 230, Grand Rapids MI 49503-2550. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical is her primary health care specialty. Teneyck, Carol Irene can be contacted via phone (616) 774-2822.

Contact Information

Primary practice address
230 Michigan St Ne Suite 230 Grand Rapids MI 49503-2550
Phone: (616) 774-2822
Fax: (616) 391-8665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704119230 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704119230 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 4704119230 Michigan

Profile Details

NPI number 1255461687
LBN Legal business name Teneyck, Carol Irene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Oct 29th, 2013 - about 13 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 1255461687 NPPES
Michigan Other 500D111930 / 876270 BCBSM
Michigan MEDICAID 4984741 BCBSM

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