Provider Demographics
NPI:1396986949
Name:H L AANNING PROF LLC
Entity type:Organization
Organization Name:H L AANNING PROF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:AANNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-369-2627
Mailing Address - Street 1:PO BOX 5126
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5126
Mailing Address - Country:US
Mailing Address - Phone:605-335-1952
Mailing Address - Fax:605-373-9971
Practice Address - Street 1:806 8TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:SD
Practice Address - Zip Code:57062
Practice Address - Country:US
Practice Address - Phone:605-369-2627
Practice Address - Fax:605-369-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDDP7632OtherRAILROAD MEDICARE
NE10025731700Medicaid
SDDP7632OtherRAILROAD MEDICARE
SDS103201Medicare PIN