Sage Medical Prof Llc

LBN: Sage Medical Prof Llc
Sage Medical Prof Llc is an health care organization with primary practice located at 345 W Steamboat Dr Ste 701 , Dakota Dunes SD 57049-5287. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Sage Medical Prof Llc can be contacted via phone (319) 430-9340, or through Laurich, Chad Roger via phone (319) 430-9340.

Contact Information

Primary practice address
345 W Steamboat Dr Ste 701 Dakota Dunes SD 57049-5287
Phone: (319) 430-9340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laurich, Chad Roger Doctor of Medicine (MD)
Phone: (319) 430-9340

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1588156657
LBN Legal business name Sage Medical Prof Llc
DBA Doing business as
Authorized official Laurich, Chad Roger Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2018
Last updated Jun 4th, 2018 - about 8 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 1588156657 NPPES
South Dakota Other 7960 STATE LICENSE

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