Crystal Twynham Md Plc

LBN: Crystal Twynham Md Plc
Crystal Twynham Md Plc is an health care organization with primary practice located at 15552 68Th Pl N , Maple Grove MN 55311-3291. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Crystal Twynham Md Plc can be contacted via phone (931) 237-2265, or through Twynham, Crystal Ulani via phone (931) 237-2265.

Contact Information

Primary practice address
15552 68Th Pl N Maple Grove MN 55311-3291
Fax: (612) 594-8998
Website:
Authorized official contact:
Name: Twynham, Crystal Ulani Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 39691 Minnesota

Profile Details

NPI number 1962707398
LBN Legal business name Crystal Twynham Md Plc
DBA Doing business as
Authorized official Twynham, Crystal Ulani Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2011
Last updated Jun 1st, 2015 - about 9 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 1962707398 NPPES
Minnesota MEDICAID 514517100

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