Tenney, Justin Michael

Tenney, Justin Michael is an individual health care provider with primary practice located at 604 N. Acadia Ste 101 , Thibodaux LA 70301-4897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tenney, Justin Michael can be contacted via phone (985) 446-5079.

Contact Information

Primary practice address
604 N. Acadia Ste 101 Thibodaux LA 70301-4897
Phone: (985) 446-5079
Fax: (985) 447-2497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 026037 Louisiana

Profile Details

NPI number 1245448224
LBN Legal business name Tenney, Justin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245448224 NPPES
Other 4J3246746 OTHER
MEDICAID 1056707 OTHER
Other 026037 OTHER

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