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Contact Information

MIDWEST MYOFUNCTIONAL SERVICES LLC
11670 FOUNTAINS DR. N
SUITE 200
MAPLE GROVE, MN55369
 Phone: 952-994-9313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MIDWEST MYOFUNCTIONAL SERVICES LLC

NPI Number 1992412936
LBN Legal business name MIDWEST MYOFUNCTIONAL SERVICES LLC
Authorized official AMY CHOUNARD - (OWNER, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2022
Last updated 10/31/2022 - About 4 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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