| Emily Tonkin, Llc | |
|
825 Nicollet Mall Ste 1246 Minneapolis MN 55402-2702 | |
| (612) 254-2527 | |
| (612) 354-4537 |
| Full Name | Emily Tonkin, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 825 Nicollet Mall Ste 1246, Minneapolis, Minnesota |
| Authorized Official Name and Position | Emily Tonkin (OWNER) |
| Authorized Official Contact | 6122542527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Tonkin, Llc 4718 Xerxes Ave N Minneapolis MN 55430-3732 Ph: (952) 217-6750 | Emily Tonkin, Llc 825 Nicollet Mall Ste 1246 Minneapolis MN 55402-2702 Ph: (612) 254-2527 |
| NPI Number | 1588277677 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/27/2020 |
| Medicare PECOS PAC ID | 4789094798 |
|---|---|
| Medicare Enrollment ID | O20201103001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588277677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emily E Tonkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871850305 PECOS PAC ID: 1658659800 Enrollment ID: I20170724000810 |
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