AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC; NPI #1184231979

Contact Information

AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC

713 1ST AVE NW
MOUNT VERNON, IA 52314-1478

Phone: 907-350-7228
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC

NPI Number	`1184231979`
LBN Legal business name	AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC
Authorized official	STEPHANIE FRIESS - (PARTNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/25/2020
Last updated	09/25/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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