Premier Obgyn Of Minnesota Pllc

LBN: Premier Obgyn Of Minnesota Pllc
Premier Obgyn Of Minnesota Pllc is an health care organization with primary practice located at 3625 W. 65Th Street Suite 100, Edina MN 55435. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Premier Obgyn Of Minnesota Pllc can be contacted via phone (952) 920-7001, or through Anderson, Valerie via phone (561) 486-8439.

Contact Information

Primary practice address
3625 W. 65Th Street Suite 100 Edina MN 55435
Fax: (952) 345-0472
Website:
Authorized official contact:
Name: Anderson, Valerie

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 005416 Minnesota

Profile Details

NPI number 1801946223
LBN Legal business name Premier Obgyn Of Minnesota Pllc
DBA Doing business as
Authorized official Anderson, Valerie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Mar 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801946223 NPPES
Minnesota MEDICAID 755010300

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