National Provider Identifier Database

HRA IQ PC
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

HRA-IQ PC
4600 W 77TH ST
#355
EDINA, MN55435-4909
Phone: 612-741-2793
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for HRA-IQ PC

NPI Number 1891174751
Legal business name
LBN
HRA-IQ PC
Authorized official STEVE PONTIUS - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/26/2015
Last updated 05/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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