Individual
MR. JOHN J. TENNITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1150 N 83RD ST, LINCOLN, NE 68505-2094
(402) 483-4485
(402) 483-5372
Mailing address
1150 N 83RD ST, LINCOLN, NE 68505-2094
(402) 483-4485
(402) 483-5372
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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