Tenuta, Carmelo D

Tenuta, Carmelo D is an individual health care provider with primary practice located at 10222 74Th St Suite 211, Kenosha WI 53142-6810. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tenuta, Carmelo D can be contacted via phone (262) 925-5020.

Contact Information

Primary practice address
10222 74Th St Suite 211 Kenosha WI 53142-6810
Phone: (262) 925-5020
Fax: (262) 925-5021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3494024 Wisconsin

Profile Details

NPI number 1144267550
LBN Legal business name Tenuta, Carmelo D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 5th, 2020 - about 6 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 1144267550 NPPES
Wisconsin MEDICAID 40178100
Wisconsin Other 11231652

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