Abijah'S On The Backside

LBN: Abijah'S On The Backside
Abijah'S On The Backside is an health care organization with primary practice located at 1100 Canterbury Rd S , Shakopee MN 55379-1867. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Abijah'S On The Backside can be contacted via phone (715) 379-1370, or through Mixon, Sally via phone (715) 379-1370.

Contact Information

Primary practice address
1100 Canterbury Rd S Shakopee MN 55379-1867
Phone: (715) 379-1370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mixon, Sally Master of Arts (MA)
Phone: (715) 379-1370

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1245099837
LBN Legal business name Abijah'S On The Backside
DBA Doing business as
Authorized official Mixon, Sally Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2024
Last updated Mar 15th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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