Adult Medicine Pa
LBN: Adult Medicine Pa
Adult Medicine Pa is an health care organization with primary practice located at 393 Dunlap St N Ste 235 , Saint Paul MN 55104-4208. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Internal Medicine. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty.
Adult Medicine Pa can be contacted via phone (651) 644-7775, or through Anderson-Uzpen, Kimberly A via phone (651) 644-7775.
Contact Information
Primary practice address
393 Dunlap St N Ste 235
Saint Paul MN 55104-4208
Phone: (651) 644-7775
Fax: (651) 644-8884
Website:
Authorized official contact:
Name: Anderson-Uzpen, Kimberly A Doctor of Medicine (MD)
Phone: (651) 644-7775
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | N153 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26646 | Minnesota |
Profile Details
| NPI number | 1740403393 |
|---|---|
| LBN Legal business name | Adult Medicine Pa |
| DBA Doing business as | |
| Authorized official | Anderson-Uzpen, Kimberly A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740403393 | NPPES |
| Minnesota | Other | 45Q68AN | BCBS |
| Minnesota | Other | CH5440 | BCBS |
| Minnesota | Other | 64544 | BCBS |
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