Provider Demographics
NPI:1649745761
Name:TENNENT MANAGEMENT LLC
Entity Type:Organization
Organization Name:TENNENT MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-506-6611
Mailing Address - Street 1:316 TENNENT RD STE 202A
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1088
Mailing Address - Country:US
Mailing Address - Phone:248-506-6611
Mailing Address - Fax:
Practice Address - Street 1:316 TENNENT RD STE 202A
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1088
Practice Address - Country:US
Practice Address - Phone:248-506-6611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID