Pa Der Vang is a Clinical in Saint Paul, Minnesota. Pa Der Vang practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pa Der Vang is 1548326861. The last update date is 2015-12-29.
Pa Der Vang's current location address is 916 Rice St, Saint Paul, Minnesota. You can contact this provider via phone number 6512909200. The mailing address for Pa Der Vang is 916 Rice St, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pa Der Vang |
|---|---|
| Address | 916 Rice St, Saint Paul, Minnesota |
| Phone Number | 6512909200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1548326861 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2015-12-29 |
Provider Mailing Address Detail
| Address | 916 Rice St |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551175425 |
| Phone Number | 6512909200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 16511 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 221657400 | MN | MN HEALTHCARE PROVIDER # |
Post Comment/ Review Below
What is the unique identifier code issued to Pa Der Vang by the Centers for Medicare & Medicaid Services?
The Pa Der Vang has been assigned the NPI (National Provider Identifier) 1548326861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Pa Der Vang?
The Pa Der Vang is physically situated at 916 Rice St, in the city of Saint Paul, state of MN, with the postal code 551175425.
What is the Pa Der Vang's specialty and taxonomy code?
The Pa Der Vang's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548326861 to Pa Der Vang?
The Centers for Medicare & Medicaid Services originally issued the 1548326861 to Pa Der Vang on 2006-12-29.
When was the information pertaining to Pa Der Vang most recently updated or revised?
The details related to Pa Der Vang, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-29.