National Provider Identifier Database

ALTRA CARE P A
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

ALTRA CARE P A
1140 VANROOY DR.
THIEF RIVER FALLS, MN56701
Phone: 218-681-2225
Fax: 218-681-4655
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for ALTRA CARE P A

NPI Number 1740437789
Legal business name
LBN
ALTRA CARE P A
Authorized official STEVEN KEOGH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/21/2008
Last updated 01/18/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 3608234

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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