Healthsource Of Prior Lake
LBN: Hermsen Health And Wellness, Pllc
Healthsource Of Prior Lake is an health care organization with primary practice located at 6880 Boudin St Ne Ste 230 , Prior Lake MN 55372-1510. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Hermsen Health And Wellness, Pllc can be contacted via phone (952) 447-0985, or through Hermsen, Samantha Marie via phone (920) 371-2702.
Contact Information
Primary practice address
6880 Boudin St Ne Ste 230
Prior Lake MN 55372-1510
Phone: (952) 447-0985
Fax: (952) 447-0986
Website:
Authorized official contact:
Name: Hermsen, Samantha Marie Doctor of Chiropractic (DC)
Phone: (920) 371-2702
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5713 | Minnesota |
Profile Details
| NPI number | 1528457645 |
|---|---|
| LBN Legal business name | Hermsen Health And Wellness, Pllc |
| DBA Doing business as | Healthsource Of Prior Lake |
| Authorized official | Hermsen, Samantha Marie Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 13th, 2015 |
| Last updated | Jan 13th, 2015 - about 9 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 | 1528457645 | NPPES |
| Minnesota | Other | 350005214 | MEDICARE PTAN |
| Minnesota | Other | 1043555055 | MEDICARE PTAN |
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