Southern Tier Surgical Clinic
LBN: Christian D. Tvetenstrand Md, Pllc
Southern Tier Surgical Clinic is an health care organization with primary practice located at 30 Harrison St Suite 320, Johnson City NY 13790-2161. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Other Service Providers / Specialist is the primary health care specialty.
Christian D. Tvetenstrand Md, Pllc can be contacted via phone (607) 763-8205, or through Tvetenstrand, Christian Dahn via phone (607) 763-8205.
Contact Information
Primary practice address
30 Harrison St Suite 320
Johnson City NY 13790-2161
Phone: (607) 763-8205
Fax: (607) 763-8208
Website:
Authorized official contact:
Name: Tvetenstrand, Christian Dahn Doctor of Medicine (MD)
Phone: (607) 763-8205
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 178438 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 011154 | New York |
Profile Details
| NPI number | 1679526669 |
|---|---|
| LBN Legal business name | Christian D. Tvetenstrand Md, Pllc |
| DBA Doing business as | Southern Tier Surgical Clinic |
| Authorized official | Tvetenstrand, Christian Dahn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 19th, 2020 - about 4 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 | 1679526669 | NPPES |
| New York | MEDICAID | 01135079 |
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