Basic Information
Provider Information
NPI: 1750523684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TWOHIG
FirstName: LING
MiddleName: DAN
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1969 WEST HART RD
Address2:  
City: BELOIT
State: WI
PostalCode: 535112283
CountryCode: US
TelephoneNumber: 6083645689
FaxNumber: 6083644542
Practice Location
Address1: BELOIT MEMORIAL HOSPITAL
Address2: 1969 WEST HART RD
City: BELOIT
State: WI
PostalCode: 535112283
CountryCode: US
TelephoneNumber: 6083645011
FaxNumber: 6083645452
Other Information
ProviderEnumerationDate: 03/24/2009
LastUpdateDate: 07/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X02006049AINN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RI0011X22007WIN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
208D00000XOP 60100157WAN Allopathic & Osteopathic PhysiciansGeneral Practice 
207RI0011X22007-875WIY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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