Michael D Tennant, D.C.
Individual provider Active NPI Independent Medical Examiner Chiropractor · Nucla, CO
NPI 1114287489 · NPPES record last updated Sep 7, 2012
Key facts
- NPI
- 1114287489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Medical Examiner Chiropractor 111NI0013X
- License
- 3090 (CO)
- Practice address
- 853 Main St
Nucla, CO 81424-0454 - Phone
- (970) 864-7480
- Fax
- (541) 808-2016
- NPI assigned
- May 21, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 3090 | CO | Yes |
Addresses
Primary practice location
853 Main St
Nucla, CO 81424-0454
Mailing address
853 Main St
Nucla, CO 81424-0454
Phone (970) 864-7480
Other providers in Nucla, CO
- Anthony G Grotts
- Cathy F Hartt
- Ann B Hemme
- Nucla-Naturita Fire Protection District
- Tennant Chiropractic PLLC
- The Apothecary Shoppe
- The Chiropractic Wellness Center
- Veatch Pharmacy Solutions
- Jacob L Veatch
All providers in Nucla, CO · Independent Medical Examiner Chiropractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.