Mindsmattersmd Llc

LBN: Mindsmattersmd Llc
Mindsmattersmd Llc is an health care organization with primary practice located at 3322 S Campbell Ave Ste T-10 , Springfield MO 65807-4980. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Mindsmattersmd Llc can be contacted via phone (313) 506-3036, or through Edokpolo, Osamede via phone (313) 506-3036.

Contact Information

Primary practice address
3322 S Campbell Ave Ste T-10 Springfield MO 65807-4980
Phone: (313) 506-3036
Fax: (844) 476-6600
Website:
Map and Directions
Authorized official contact:
Name: Edokpolo, Osamede Doctor of Medicine (MD)
Phone: (313) 506-3036

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1356962799
LBN Legal business name Mindsmattersmd Llc
DBA Doing business as
Authorized official Edokpolo, Osamede Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2020
Last updated Apr 19th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356962799 NPPES
Missouri MEDICAID 1326334459

Popular Providers