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Contact Information

TRENT M TENNYSON, MD
19401 HUBBARD DR
DEARBORN, MI48126-2641
 Phone: 313-982-8369
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TRENT M TENNYSON · (Male)

NPI # 1851654966
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2012
Last updated 06/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301113830
  • NJ License # 25MA11085700
  • PA License # MT201280
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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