Provider Demographics
NPI:1336901719
Name:TEBIT, FRANKLIN TEKUM
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:TEKUM
Last Name:TEBIT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9216 GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3106
Mailing Address - Country:US
Mailing Address - Phone:240-960-0457
Mailing Address - Fax:
Practice Address - Street 1:9216 GREENWOOD LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3106
Practice Address - Country:US
Practice Address - Phone:240-960-0457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator