Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 24349 | MN |
N | 2080P0210X | Pediatric Nephrologist | 24349 | MN |
NPI | 1578647707 |
---|---|
Provider Name | Thomas E Nevins |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0051731 | (05) | MT |
1009256 | PREFERRED ONE (01) | MN |
100926 | UCARE (01) | MN |
1248ONE | BCBS-MN (01) | MN |
1990515 | (05) | IA |
2116507 | (05) | OH |
2T303NE | BCBS-BILLING CODE (01) | MN |
30259400 | (05) | WI |
3100013 | MEDICA CHOICE (01) | MN |
60481 | ARAZ (01) | MN |
91243493 | (05) | CO |
D82184 | (02) | |
HP20223 | HEALTHPARTNERS (01) | MN |
MEDICA PRIMARY | MEDICA PRIMARY (01) | MN |