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Individual
MR. JOHN J. TENNITY
Active
Individual
MR. JOHN J. TENNITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
237
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2572
BLUE CROSS BLUE SHIELD ID
NE
01
—
27-00182
UNITED HEALTHCARE ID
NE
05
—
47083655807
—
NE
01
—
48033679
RAILROAD MEDICARE
NE
Enumeration date
05/24/2005
Last updated
01/30/2012
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