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Contact Information

ADVANCED ACUPUNCTURE & PAIN MANAGEMENT CLINIC
2129 2ND ST
WHITE BEAR LAKE, MN55110-3458
 Phone: 612-547-9301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ADVANCED ACUPUNCTURE & PAIN MANAGEMENT CLINIC

NPI Number 1740672864
LBN Legal business name ADVANCED ACUPUNCTURE & PAIN MANAGEMENT CLINIC
Authorized official DAVID SIMMONS - (OWNER, L.AC.)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2015
Last updated 02/26/2015 - About 11 years ago
Identifiers
MN License # 1626
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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