Millennium Neurosurgery, Pa

LBN: Millennium Neurosurgery, Pa
Millennium Neurosurgery, Pa is an health care organization with primary practice located at 1675 Beam Ave Suite 215, Maplewood MN 55109-1172. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Millennium Neurosurgery, Pa can be contacted via phone (651) 748-1461, or through Thienprasit, Phudhiphorn via phone (651) 748-1461.

Contact Information

Primary practice address
1675 Beam Ave Suite 215 Maplewood MN 55109-1172
Phone: (651) 748-1461
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thienprasit, Phudhiphorn Doctor of Medicine (MD)
Phone: (651) 748-1461

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1473 Minnesota

Profile Details

NPI number 1851314868
LBN Legal business name Millennium Neurosurgery, Pa
DBA Doing business as
Authorized official Thienprasit, Phudhiphorn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851314868 NPPES
Minnesota Other CN3928 RAILROAD MEDICARE

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