Odom Health & Wellness

LBN: Odom Sports Medicine, P.A.
Odom Health & Wellness is an health care organization with primary practice located at 6545 Flying Cloud Dr Ste 201 , Eden Prairie MN 55344-3356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Odom Sports Medicine, P.A. can be contacted via phone (952) 224-1919, or through Odom, John H via phone (952) 224-1919.

Contact Information

Primary practice address
6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356
Phone: (952) 224-1919
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Odom, John H Doctor of Medicine (MD)
Phone: (952) 224-1919

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X

Profile Details

NPI number 1275557886
LBN Legal business name Odom Sports Medicine, P.A.
DBA Doing business as Odom Health & Wellness
Authorized official Odom, John H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 23rd, 2024 - 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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