National Provider Identifier Database

D PAVELKA REPRODUCTIVE ASSOCIATES PA
Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)


Contact Information

D PAVELKA REPRODUCTIVE ASSOCIATES, PA
500 OSBORNE RD NE STE 260
FRIDLEY, MN55432-2768
Phone: 763-783-8155
Fax: 763-783-1373
Website:
Specialty Taxonomy Code
* Ambulatory Fertility Facility 261QA0006X

* Indicates primary specialty

NPI Profile & details for D PAVELKA REPRODUCTIVE ASSOCIATES, PA

NPI Number 1063629798
Legal business name
LBN
D PAVELKA REPRODUCTIVE ASSOCIATES, PA
Authorized official CONNIE SCOTT - (OFFICE COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 05/16/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 27008

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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