Tani, Douglas George
Tani, Douglas George is an individual health care provider with primary practice located at 7125 Tamarack Rd Ste 100 , Woodbury MN 55125-1308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tani, Douglas George can be contacted via phone (952) 888-5800.Contact Information
Primary practice address
7125 Tamarack Rd Ste 100
Woodbury MN 55125-1308
Phone: (952) 888-5800
Fax: (952) 567-6156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 22264 | Minnesota |
Profile Details
| NPI number | 1295707958 |
|---|---|
| LBN Legal business name | Tani, Douglas George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Sep 15th, 2020 - about 4 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 | 1295707958 | NPPES |
| Minnesota | MEDICAID | 149280200 |
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