Omni Cosmetic
LBN: Omni Medical Center Pllc
Omni Cosmetic is an health care organization with primary practice located at 935 Wayzata Blvd E Ste 200 , Wayzata MN 55391-2513. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty.
Omni Medical Center Pllc can be contacted via phone (763) 559-4500, or through Rolfes, Bryan Nicholas via phone (763) 559-4500.
Contact Information
Primary practice address
935 Wayzata Blvd E Ste 200
Wayzata MN 55391-2513
Phone: (763) 559-4500
Fax: (763) 559-1733
Website:
Authorized official contact:
Name: Rolfes, Bryan Nicholas Doctor of Medicine (MD)
Phone: (763) 559-4500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X |
Profile Details
| NPI number | 1659845659 |
|---|---|
| LBN Legal business name | Omni Medical Center Pllc |
| DBA Doing business as | Omni Cosmetic |
| Authorized official | Rolfes, Bryan Nicholas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2019 |
| Last updated | May 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659845659 | NPPES |
| Other | 1659845659 | OTHER INS |
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