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
Phone: (605) 322-4800
Fax: (605) 322-4801
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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