Proactive Healthcare

LBN: Proactive Healthcare
Proactive Healthcare is an health care organization with primary practice located at 101 5Th St E Suite 227, Saint Paul MN 55101-1898. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Proactive Healthcare can be contacted via phone (651) 778-0080, or through Burdash, Nathan via phone (651) 778-0080.

Contact Information

Primary practice address
101 5Th St E Suite 227 Saint Paul MN 55101-1898
Phone: (651) 778-0080
Fax: (651) 778-0195
Website:
Map and Directions
Authorized official contact:
Name: Burdash, Nathan
Phone: (651) 778-0080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 41988 Minnesota

Profile Details

NPI number 1891058384
LBN Legal business name Proactive Healthcare
DBA Doing business as
Authorized official Burdash, Nathan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Sep 27th, 2012 - about 13 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 1891058384 NPPES
Minnesota MEDICAID 1891058384

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