Reviv Pllc

LBN: Reviv Pllc
Reviv Pllc is an health care organization with primary practice located at 3029 Brandt Dr S Ste A , Fargo ND 58104-9140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Reviv Pllc can be contacted via phone (701) 566-5306, or through Job, Laura Lisa via phone (701) 526-6530.

Contact Information

Primary practice address
3029 Brandt Dr S Ste A Fargo ND 58104-9140
Phone: (701) 566-5306
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Job, Laura Lisa
Phone: (701) 526-6530

Health care specialties

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

Profile Details

NPI number 1114595824
LBN Legal business name Reviv Pllc
DBA Doing business as
Authorized official Job, Laura Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2021
Last updated Jun 21st, 2021 - about 4 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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