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
Phone: (931) 237-2265
Fax: (612) 594-8998
Website:
Authorized official contact:
Name: Twynham, Crystal Ulani Doctor of Medicine (MD)
Phone: (931) 237-2265
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962707398 | NPPES |
Minnesota | MEDICAID | 514517100 |
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