<Unavail>
LBN: Patjac, Inc.
<Unavail> is an health care organization with primary practice located at 4118 W Division St , Saint Cloud MN 56301-3706. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty.
Patjac, Inc. can be contacted via phone (320) 252-2021, or through Kane, Patrick O via phone (320) 252-2021.
Contact Information
Primary practice address
4118 W Division St
Saint Cloud MN 56301-3706
Phone: (320) 252-2021
Fax: (320) 252-7416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | Minnesota |
Profile Details
| NPI number | 1033118302 |
|---|---|
| LBN Legal business name | Patjac, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Kane, Patrick O OPTICIAN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1033118302 | NPPES |
| Other | C02754 | WISCONSIN PHY | |
| Other | 65209PE | WISCONSIN PHY | |
| Other | 65208PE | WISCONSIN PHY | |
| Other | 102081 | WISCONSIN PHY | |
| Other | 65377 | WISCONSIN PHY | |
| Other | 110495 | WISCONSIN PHY | |
| Other | 21-20963 | WISCONSIN PHY | |
| MEDICAID | 383663100 | WISCONSIN PHY |
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