Mind And Body Restored

LBN: Mind And Body Restored
Mind And Body Restored is an health care organization with primary practice located at 913 W Canfield Ave , Coeur D Alene ID 83815-9764. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Mind And Body Restored can be contacted via phone (208) 957-7808, or through Quall, Jana via phone (208) 957-7808.

Contact Information

Primary practice address
913 W Canfield Ave Coeur D Alene ID 83815-9764
Phone: (208) 957-7808
Fax: (949) 695-2456
Website:
Map and Directions
Authorized official contact:
Name: Quall, Jana Nurse Practitioner (NP)
Phone: (208) 957-7808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1295420651
LBN Legal business name Mind And Body Restored
DBA Doing business as
Authorized official Quall, Jana Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2023
Last updated Dec 5th, 2023 - about last year

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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