# MR. JOHN J. TENNITY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194728915
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 237 | NE | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 01/30/2012

## 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 |