Advanced Spine And Pain Clinics Of Minnesota Llc

LBN: Advanced Spine And Pain Clinics Of Minnesota Llc
Advanced Spine And Pain Clinics Of Minnesota Llc is an health care organization with primary practice located at 2801 Wayzata Blvd , Minneapolis MN 55405-2125. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Advanced Spine And Pain Clinics Of Minnesota Llc can be contacted via phone (612) 207-7463, or through Thorson, Matthew Gerald via phone (612) 207-7463.

Contact Information

Primary practice address
2801 Wayzata Blvd Minneapolis MN 55405-2125
Phone: (612) 207-7463
Fax: (612) 315-4473
Website:
Map and Directions
Authorized official contact:
Name: Thorson, Matthew Gerald Doctor of Medicine (MD)
Phone: (612) 207-7463

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1891055851
LBN Legal business name Advanced Spine And Pain Clinics Of Minnesota Llc
DBA Doing business as
Authorized official Thorson, Matthew Gerald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2012
Last updated Feb 7th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891055851 NPPES
Minnesota MEDICAID 530615900

Popular Providers