Tennant, Robert Wynne

Tennant, Robert Wynne is an sole proprietor health care provider with primary practice located at 1471 Jason Rd Ste 100, Greenfield IN 46140-1097. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tennant, Robert Wynne can be contacted via phone (765) 737-1117.

Contact Information

Primary practice address
1471 Jason Rd Ste 100 Greenfield IN 46140-1097
Phone: (765) 737-1117
Fax: (765) 737-1119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 492 Indiana

Profile Details

NPI number 1790770485
LBN Legal business name Tennant, Robert Wynne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Dec 23rd, 2021 - about 5 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 1790770485 NPPES
Other 000000096713 ANTHEM
MEDICAID 100127340A ANTHEM

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