Tactical Im Pllc
LBN: Tactical Im Pllc
Tactical Im Pllc is an health care organization with primary practice located at 801 E Silver Pond Pl , Sioux Falls SD 57108-8392. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Tactical Im Pllc can be contacted via phone (605) 595-2626, or through Liddell, Travis R via phone (605) 595-2626.
Contact Information
Primary practice address
801 E Silver Pond Pl
Sioux Falls SD 57108-8392
Phone: (605) 595-2626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1538925581 |
|---|---|
| LBN Legal business name | Tactical Im Pllc |
| DBA Doing business as | |
| Authorized official | Liddell, Travis R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2024 |
| Last updated | Feb 27th, 2024 - about last year |
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 | 1538925581 | NPPES |
| South Dakota | Other | 8782 | STATE LICENSE |
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