Minnesota Head And Neck Pain Clinic, Pa

LBN: Minnesota Head And Neck Pain Clinic, Pa
Minnesota Head And Neck Pain Clinic, Pa is an health care organization with primary practice located at 2550 University Ave W Ste 189S, St Paul MN 55114. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Minnesota Head And Neck Pain Clinic, Pa can be contacted via phone (651) 332-7474, or through Reichert, Tia A via phone (763) 577-2484.

Contact Information

Primary practice address
2550 University Ave W Ste 189S St Paul MN 55114
Phone: (651) 332-7474
Fax: (651) 332-7475
Website:
Map and Directions
Authorized official contact:
Name: Reichert, Tia A
Phone: (763) 577-2484

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1104850155
LBN Legal business name Minnesota Head And Neck Pain Clinic, Pa
DBA Doing business as
Authorized official Reichert, Tia A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 17th, 2024 - about 4 months 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 1104850155 NPPES
Minnesota Other 11668MI BLUE CROSS

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