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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

NPI Number 1275636615
LBN Legal business name TOM L POOLEY
Authorized official TOM POOLEY - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 07/30/2008 - About 18 years ago
Identifiers
MN License # D12049
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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