Homeopathic Medical Clinic

LBN: Homeopathic Medical Clinic
Homeopathic Medical Clinic is an health care organization with primary practice located at 4201 Excelsior Blvd , Minneapolis MN 55416-4728. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Homeopathic Medical Clinic can be contacted via phone (952) 933-8900, or through Mirman, Jacob I via phone (952) 933-8900.

Contact Information

Primary practice address
4201 Excelsior Blvd Minneapolis MN 55416-4728
Fax: (952) 945-9536
Website:
Authorized official contact:
Name: Mirman, Jacob I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1235381476
LBN Legal business name Homeopathic Medical Clinic
DBA Doing business as
Authorized official Mirman, Jacob I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235381476 NPPES
Minnesota MEDICAID 2002688

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