National Provider Identifier Database

ADVACARE CLINICSLTD
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Contact Information

ADVACARE CLINICS,LTD
5001 AMERICAN BLVD W
STE.945
BLOOMINGTON, MN  55437-1108
Phone: 952-835-6653
Fax: 952-835-3895
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Acupuncturist 171100000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Pain Medicine 208VP0000X
Physical Medicine & Rehabilitation 208100000X
Physical Therapist 225100000X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for ADVACARE CLINICS,LTD

NPI Number 1265614242
Legal business name
LBN		 ADVACARE CLINICS,LTD
Authorized official DENNIS LENSELINK - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/30/2007
Last updated 10/31/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 401
  • MN Other: 24-6608 CMS CERTIFICATION NUMBER PART A (CCN)

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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