1700125358 NPI number — THE TENA GROUP, LLC

Table of content: (NPI 1700125358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700125358 NPI number — THE TENA GROUP, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE TENA GROUP, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AUDIO 'D' / FINETONE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700125358
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
885 ROOSEVELT TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINDHAM
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04062-5342
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-893-2920
Provider Business Mailing Address Fax Number:
207-893-2939

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
885 ROOSEVELT TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINDHAM
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04062-5342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-893-2920
Provider Business Practice Location Address Fax Number:
207-893-2939
Provider Enumeration Date:
02/01/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GAUTHIER
Authorized Official First Name:
EDOUARD
Authorized Official Middle Name:
ALBERT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
207-893-2920

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  AP1101 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X , with the licence number: AP1101 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237700000X , with the licence number: DL368 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)