Mind Body Medicine Inc.

LBN: Mind Body Medicine Inc.
Mind Body Medicine Inc. is an health care organization with primary practice located at 8 N 2Nd Ave E Suite 209, Duluth MN 55802-2102. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mind Body Medicine Inc. can be contacted via phone (218) 628-2130, or through Kohls, Gary G. via phone (218) 628-2130.

Contact Information

Primary practice address
8 N 2Nd Ave E Suite 209 Duluth MN 55802-2102
Phone: (218) 628-2130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kohls, Gary G. Doctor of Medicine (MD)
Phone: (218) 628-2130

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1528246295
LBN Legal business name Mind Body Medicine Inc.
DBA Doing business as
Authorized official Kohls, Gary G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2008
Last updated Feb 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528246295 NPPES
Minnesota Other 40M27KO BLUE CROSS

Popular Providers