Provider Demographics
NPI:1376660688
Name:DR. STEVE TENCER
Entity Type:Organization
Organization Name:DR. STEVE TENCER
Other - Org Name:AAA CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TENCER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:662-393-8500
Mailing Address - Street 1:1941 GOODMAN RD WEST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637
Mailing Address - Country:US
Mailing Address - Phone:662-393-8500
Mailing Address - Fax:662-393-9994
Practice Address - Street 1:384 GOODMAN RD E
Practice Address - Street 2:SUITE 162
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9522
Practice Address - Country:US
Practice Address - Phone:662-393-8500
Practice Address - Fax:662-393-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS714111N00000X
MS1069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty