Gavin, Todd J

Gavin, Todd J is an sole proprietor health care provider with primary practice located at 23886 State Highway 22 , Mankato MN 56001-7546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gavin, Todd J can be contacted via phone (507) 625-1424.

Contact Information

Primary practice address
23886 State Highway 22 Mankato MN 56001-7546
Phone: (507) 625-1424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35388 Minnesota

Profile Details

NPI number 1922087964
LBN Legal business name Gavin, Todd J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Oct 27th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922087964 NPPES
Minnesota Other NA2951011001 PREFERRED ONE
Minnesota Other 41084933956001C043 PREFERRED ONE
Minnesota Other 970917 PREFERRED ONE
Minnesota Other 115539 PREFERRED ONE
Minnesota Other 1M469GA PREFERRED ONE
Minnesota Other HP25582 PREFERRED ONE
Minnesota Other 0802344 PREFERRED ONE
Minnesota Other 180021519 PREFERRED ONE
Minnesota MEDICAID 676207700 PREFERRED ONE
Minnesota MEDICAID 937847 PREFERRED ONE

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