Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI Number | 1508635772 |
| LBN Legal business name | PRAIRIE VIEW MEDICAL, PROF. LLC |
| DBA Doing business as | PRAIRIE VIEW MEDICAL CLINIC |
| Authorized official | JENNIFER OLSON - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/28/2023 |
| Last updated | 04/17/2024 - About 2 years ago |
| Identifiers | n/a |
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