Tenofsky, Michael Abram
Tenofsky, Michael Abram is an individual health care provider with primary practice located at 625 E Broadway Ave , Jackson WY 83001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tenofsky, Michael Abram can be contacted via phone (307) 733-3636.Contact Information
Primary practice address
625 E Broadway Ave
Jackson WY 83001
Phone: (307) 733-3636
Fax: (888) 329-5701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TL5680 | Wyoming |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 12118A | Wyoming |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | TL5680 | Wyoming |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 12118A | Wyoming |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12118A | Wyoming |
Profile Details
| NPI number | 1194965608 |
|---|---|
| LBN Legal business name | Tenofsky, Michael Abram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2009 |
| Last updated | Feb 18th, 2021 - 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 | 1194965608 | NPPES |
| Wyoming | MEDICAID | 152333300 |
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