Tessendorf, Thomas N
Tessendorf, Thomas N is an sole proprietor health care provider with primary practice located at 1401 W Biztown Loop , Hayden ID 83835-5113. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tessendorf, Thomas N can be contacted via phone (208) 762-3660.Contact Information
Primary practice address
1401 W Biztown Loop
Hayden ID 83835-5113
Phone: (208) 762-3660
Fax: (208) 762-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2047 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1564 | Idaho |
Profile Details
| NPI number | 1780685255 |
|---|---|
| LBN Legal business name | Tessendorf, Thomas N |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780685255 | NPPES |
| Other | 000075015 | MEDICARE PTAN |
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