Evergreen Primary Care Pllc

LBN: Evergreen Primary Care Pllc
Evergreen Primary Care Pllc is an health care organization with primary practice located at 1337 Wilderness Run Dr , Eagan MN 55123-1856. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Evergreen Primary Care Pllc can be contacted via phone (612) 817-7240, or through Vang, Shary via phone (612) 817-7240.

Contact Information

Primary practice address
1337 Wilderness Run Dr Eagan MN 55123-1856
Phone: (612) 817-7240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vang, Shary Doctor of Medicine (MD)
Phone: (612) 817-7240

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1831768704
LBN Legal business name Evergreen Primary Care Pllc
DBA Doing business as
Authorized official Vang, Shary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 3 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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