Noble Parkway Medical Clinic Professional Corporation

LBN: Noble Parkway Medical Clinic Professional Corporation
Noble Parkway Medical Clinic Professional Corporation is an health care organization with primary practice located at 4808 85Th Ave North Suite 300, Brooklyn Park MN 55443. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Noble Parkway Medical Clinic Professional Corporation can be contacted via phone (763) 496-1562, or through Fawole, Tajudeen O via phone (763) 496-1562.

Contact Information

Primary practice address
4808 85Th Ave North Suite 300 Brooklyn Park MN 55443
Phone: (763) 496-1562
Fax: (763) 657-0581
Website:
Map and Directions
Authorized official contact:
Name: Fawole, Tajudeen O Doctor of Medicine (MD)
Phone: (763) 496-1562

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1043556517
LBN Legal business name Noble Parkway Medical Clinic Professional Corporation
DBA Doing business as
Authorized official Fawole, Tajudeen O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2013
Last updated May 16th, 2013 - about 11 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

Popular Providers