Avera Neurosurgery - Mark W. Fox, M.D., Facs

LBN: Avera Mckennan
Avera Neurosurgery - Mark W. Fox, M.D., Facs is an health care organization with primary practice located at 1100 E 21St St Ste 220, Sioux Falls SD 57105-1020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-4825, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
1100 E 21St St Ste 220 Sioux Falls SD 57105-1020
Phone: (605) 322-4825
Fax: (605) 322-4826
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4319 South Dakota

Profile Details

NPI number 1093908501
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Neurosurgery - Mark W. Fox, M.D., Facs
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Mar 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093908501 NPPES
Nebraska MEDICAID 10025562500
Nebraska Other 167004
Nebraska Other 46L93AV
Nebraska Other 9251034

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