Dodson, Tanner M

Dodson, Tanner M is an individual health care provider with primary practice located at 4130 Pioneer Woods Dr Ste 1 , Lincoln NE 68506-7552. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dodson, Tanner M can be contacted via phone (402) 489-4700.

Contact Information

Primary practice address
4130 Pioneer Woods Dr Ste 1 Lincoln NE 68506-7552
Phone: (402) 489-4700
Fax: (402) 489-5220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 385 Nebraska
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135.001028 Illinois

Profile Details

NPI number 1013486265
LBN Legal business name Dodson, Tanner M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2018
Last updated Jul 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013486265 NPPES
Illinois Other 135.001028 STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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