Individual
MR. JOHN SCOTT TENBROECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LNHA
Contact information
Practice address
936 N SHARON AMITY RD, CHARLOTTE, NC 28211-3138
(704) 942-0650
(704) 333-2281
Mailing address
936 N SHARON AMITY RD, CHARLOTTE, NC 28211-3138
(704) 942-0650
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
A00001102
NC
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/23/2011
Last updated
09/03/2013
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