Individual
DR. ROBERT WYNNE TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1471 JASON RD, STE 100, GREENFIELD, IN 46140-1097
(765) 737-1117
(765) 737-1119
Mailing address
1471 JASON RD, STE 100, GREENFIELD, IN 46140-1097
(765) 737-1117
(765) 737-1119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
492
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000096713
ANTHEM
—
05
—
100127340A
—
IN
Enumeration date
09/19/2005
Last updated
12/23/2021
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