Cosmetics And Plastic Surgery

LBN: Avera St. Luke'S
Cosmetics And Plastic Surgery is an health care organization with primary practice located at 4141 31St Ave S Ste 105 , Fargo ND 58104-8778. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Avera St. Luke'S can be contacted via phone (605) 725-5030, or through Jacobson, Ron L via phone (605) 622-5125.

Contact Information

Primary practice address
4141 31St Ave S Ste 105 Fargo ND 58104-8778
Phone: (605) 725-5030
Fax: (605) 725-5028
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ron L
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 10525 South Dakota

Profile Details

NPI number 1619273927
LBN Legal business name Avera St. Luke'S
DBA Doing business as Cosmetics And Plastic Surgery
Authorized official Jacobson, Ron L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2011
Last updated Jun 30th, 2011 - about 14 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.

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