Aesthetic-Reconstructive Plastic Surgery, Ltd
LBN: Aesthetic-Reconstructive Plastic Surgery, Ltd
Aesthetic-Reconstructive Plastic Surgery, Ltd is an health care organization with primary practice located at 500 Osborne Rd Ne Unity Professional Bldg Suite 350, Fridley MN 55432-2765. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Aesthetic-Reconstructive Plastic Surgery, Ltd can be contacted via phone (763) 780-8927, or through Diem, Thomas J via phone (763) 780-8927.
Contact Information
Primary practice address
500 Osborne Rd Ne Unity Professional Bldg Suite 350
Fridley MN 55432-2765
Phone: (763) 780-8927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 24664 | Minnesota |
Profile Details
| NPI number | 1801080353 |
|---|---|
| LBN Legal business name | Aesthetic-Reconstructive Plastic Surgery, Ltd |
| DBA Doing business as | |
| Authorized official | Diem, Thomas J D.D.S, M.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801080353 | NPPES |
| Minnesota | Other | C00776 | MEDICARE GROUP ID |
| Minnesota | Other | 03507AE | MEDICARE GROUP ID |
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