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Contact Information

PROACTIVE HEALTHCARE EDUCATION CENTER
334 E LAKE ST STE 105
MINNEAPOLIS, MN55408-2485
 Phone: 310-883-8932
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for PROACTIVE HEALTHCARE EDUCATION CENTER

NPI Number 1528805553
LBN Legal business name PROACTIVE HEALTHCARE EDUCATION CENTER
Authorized official SOLAMAN SHIRE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2024
Last updated 07/09/2024 - More than a year 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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