Halvorsen, Tanya L.
Halvorsen, Tanya L. is an sole proprietor health care provider with primary practice located at 347 Smith Ave N , Saint Paul MN 55102-2387. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Halvorsen, Tanya L. can be contacted via phone (651) 220-6818.Contact Information
Primary practice address
347 Smith Ave N
Saint Paul MN 55102-2387
Phone: (651) 220-6818
Fax: (651) 220-6064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45340 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 45340 | Minnesota |
Profile Details
| NPI number | 1376629972 |
|---|---|
| LBN Legal business name | Halvorsen, Tanya L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 26th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376629972 | NPPES |
| Minnesota | MEDICAID | 978163300 |
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