<Unavail>
LBN: Sds Group Pa
<Unavail> is an health care organization with primary practice located at 4833 Minnetonka Blvd , St Louis Park MN 55416-2214. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Contact Information
Primary practice address
4833 Minnetonka Blvd
St Louis Park MN 55416-2214
Fax:
Website:
Authorized official contact:
Name: Salita, Scott David Doctor of Chiropractic (DC)
Phone: (612) 991-3139
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4370 | Minnesota |
Profile Details
| NPI number | 1285812412 |
|---|---|
| LBN Legal business name | Sds Group Pa |
| DBA Doing business as | <Unavail> |
| Authorized official | Salita, Scott David Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 11th, 2008 |
| Last updated | Sep 28th, 2023 - about 3 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 | 1285812412 | NPPES |
| Minnesota | MEDICAID | 787250000 | |
| Minnesota | Other | 1065328 | |
| Minnesota | Other | 119H8CH |
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