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Contact Information

TOM L POOLEY
124 E WALNUT ST
STE 300
MANKATO, MN56001
 Phone: 507-388-3384
 Fax: 507-388-6079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TOM L POOLEY · (Female)

NPI Number 1275636615
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2006
Last updated 07/30/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D12049
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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