HULTMAN LAKE ENTERPRISES; NPI #1093397796

Contact Information

HULTMAN LAKE ENTERPRISES

805 MAIN ST S
PINE CITY, MN 55063-1660

Phone: 320-629-5288
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for HULTMAN LAKE ENTERPRISES

NPI #	`1093397796`
LBN Legal business name	HULTMAN LAKE ENTERPRISES
Authorized official	JOEL BLOMBERG - (DOCTOR OF CHIROPRACTIC)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/22/2021
Last updated	04/22/2021 - About 5 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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HULTMAN LAKE ENTERPRISES

Contact Information

Specialty

Rural Health

NPI Profile & details for HULTMAN LAKE ENTERPRISES

Reviews for HULTMAN LAKE ENTERPRISES