Advanced Integrative Medicine

LBN: Advanced Integrative Medicine
Advanced Integrative Medicine is an health care organization with primary practice located at 5 W Main St , Crosby MN 56441-1421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Advanced Integrative Medicine can be contacted via phone (218) 546-7333, or through Bostrom, Mark via phone (218) 546-7333.

Contact Information

Primary practice address
5 W Main St Crosby MN 56441-1421
Phone: (218) 546-7333
Fax: (218) 546-7334
Website:
Map and Directions
Authorized official contact:
Name: Bostrom, Mark Doctor of Osteopathy (DO)
Phone: (218) 546-7333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 38115 Minnesota

Profile Details

NPI number 1487949897
LBN Legal business name Advanced Integrative Medicine
DBA Doing business as
Authorized official Bostrom, Mark Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2011
Last updated Oct 4th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487949897 NPPES
Minnesota MEDICAID 85419100

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