Odom Health And Wellness

LBN: Odom Sports Medicine, P.A.
Odom Health And Wellness is an health care organization with primary practice located at 500 S Cherry St , Waconia MN 55387-4515. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Odom Sports Medicine, P.A. can be contacted via phone (952) 856-4722, or through Odom, John H.L. via phone (952) 224-1919.

Contact Information

Primary practice address
500 S Cherry St Waconia MN 55387-4515
Phone: (952) 856-4722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Odom, John H.L. Doctor of Medicine (MD)
Phone: (952) 224-1919

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1740625870
LBN Legal business name Odom Sports Medicine, P.A.
DBA Doing business as Odom Health And Wellness
Authorized official Odom, John H.L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 2nd, 2013
Last updated May 2nd, 2013 - about 13 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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