Impact Physical Medicine

LBN: Impact Physical Medicine
Impact Physical Medicine is an health care organization with primary practice located at 1600 University Ave W Ste 10 , Saint Paul MN 55104-3898. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Impact Physical Medicine can be contacted via phone (651) 646-7246, or through Mueller, Cynthia Jane via phone (612) 250-2995.

Contact Information

Primary practice address
1600 University Ave W Ste 10 Saint Paul MN 55104-3898
Phone: (651) 646-7246
Fax: (651) 641-0726
Website:
Map and Directions
Authorized official contact:
Name: Mueller, Cynthia Jane Master of Arts (MA)
Phone: (612) 250-2995

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 105096 Minnesota

Profile Details

NPI number 1689021586
LBN Legal business name Impact Physical Medicine
DBA Doing business as
Authorized official Mueller, Cynthia Jane Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2016
Last updated May 20th, 2016 - about 10 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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