Hennepin Faculty Associates

LBN: Hennepin Faculty Associates
Hennepin Faculty Associates is an health care organization with primary practice located at 914 S 8Th St S4, Minneapolis MN 55404-1210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Hennepin Faculty Associates can be contacted via phone (612) 347-6450, or through Fosbury, Lawrence R via phone (612) 347-5109.

Contact Information

Primary practice address
914 S 8Th St S4 Minneapolis MN 55404-1210
Phone: (612) 347-6450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fosbury, Lawrence R
Phone: (612) 347-5109

Health care specialties

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

Profile Details

NPI number 1063459485
LBN Legal business name Hennepin Faculty Associates
DBA Doing business as
Authorized official Fosbury, Lawrence R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 24th, 2008 - about 17 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 1063459485 NPPES
Minnesota MEDICAID 142712100

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