Avera Neurosurgery - Daniel G. Tynan, M.D.

LBN: Avera Mckennan
Avera Neurosurgery - Daniel G. Tynan, M.D. is an health care organization with primary practice located at 1100 E 21St St Ste 600, 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) 322-4800, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
1100 E 21St St Ste 600 Sioux Falls SD 57105-1020
Fax: (605) 322-4801
Website:
Authorized official contact:
Name: Norton, Julie N

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4653 South Dakota

Profile Details

NPI number 1649461369
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Neurosurgery - Daniel G. Tynan, M.D.
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2007
Last updated Mar 30th, 2010 - about 14 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 1649461369 NPPES
South Dakota Other 9251035 DAKOTACARE
South Dakota MEDICAID 10025595900 DAKOTACARE
South Dakota Other 4992604 DAKOTACARE
South Dakota Other 6I362AV DAKOTACARE

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