Osseo Back And Neck Clinic, P.A. in Osseo - Radiology
Osseo Back And Neck Clinic, P.A. - NPI 1073688065
Osseo Back And Neck Clinic, P.A. is a Radiology in Osseo, Minnesota. Osseo Back And Neck Clinic, P.A. practices all healthcare services and medical treatments related to Radiology. The NPI Number for Osseo Back And Neck Clinic, P.A. is 1073688065. The last update date is 2007-10-01.
Osseo Back And Neck Clinic, P.A.'s current location address is 220 Central Ave, Osseo, Minnesota. You can contact this provider via phone number 7634255525 and fax number 7634256229. The mailing address for Osseo Back And Neck Clinic, P.A. is 220 Central Ave, Osseo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Osseo Back And Neck Clinic, P.A. |
|---|---|
| Address | 220 Central Ave, Osseo, Minnesota |
| Phone Number | 7634255525 |
| Fax Number | 7634256229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER-PRES |
|---|---|
| Authorized Official Name | Kelzenberg Lee Peter |
| Credentials | D.C. |
| Telephone Number | 7634255525 |
NPI Number Detail
| NPI Number | 1073688065 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 220 Central Ave |
|---|---|
| City | Osseo |
| State | Minnesota (MN) |
| Post Code | 553691245 |
| Phone Number | 7634255525 |
| Fax Number | 7634256229 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 111Nr0200X |
| Licence No | 3440 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 604271 | MN | HEALTH PARTNERS | |
| 02D86OS | MN | BCBS | |
| 44-40379 | MN | MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Osseo Back And Neck Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The Osseo Back And Neck Clinic, P.A. has been issued the NPI (National Provider Identifier) 1073688065, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Osseo Back And Neck Clinic, P.A.'s facilities are situated?
The facilities of Osseo Back And Neck Clinic, P.A. are physically located at the following address: 220 Central Ave, Osseo, MN, 553691245.
What is Osseo Back And Neck Clinic, P.A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Osseo Back And Neck Clinic, P.A.'s specialized field of practice is Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 111Nr0200X.
When did the Osseo Back And Neck Clinic, P.A. receive its 1073688065?
The Osseo Back And Neck Clinic, P.A. was issued its 1073688065 on 2006-11-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Osseo Back And Neck Clinic, P.A. most recently updated or revised?
The information pertaining to Osseo Back And Neck Clinic, P.A., including its address, specialty, and other relevant details, was last updated or revised on 2007-10-01.