MINNESOTA SPINE REHAB INC NPI 1043236896

NPI Information

NPI: 1043236896
Provider Name: MINNESOTA SPINE REHAB, INC

Other Name: SPECIALISTS IN OCCUPATIONAL & ENVRIONMENTAL MEDICINE

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
360 SHERMAN ST
SUITE 470
SAINT PAUL, MN
ZIP 55102
Phone: (651) 209-6520
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MINNESOTA SPINE REHAB, INC is an occupational medicine clinic center in Saint Paul, MN. MINNESOTA SPINE REHAB, INC NPI is 1043236896. The provider is registered as an organization entity type.
The provider Other Name Is Specialists In Occupational & Envrionmental Medicine.

The provider's business location address is:

360 SHERMAN ST
SUITE 470
SAINT PAUL, MN
ZIP 55102-564
Phone: (651) 209-6520
Fax: (651) 209-6521

The provider's authorized official is Sherief A Mikhail .
The authorized official title is Medical Director and has the following contact phone number (651) 209-6520.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 12/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine	33701	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47D55MI	OTHER	MICRONESIA	BCBS OF MN CLINIC NUMBER
2	CK8252	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RAILROAD MEDICARE
3	79737	OTHER	MICRONESIA	HEALTH PARTNERS GROUP NUM
4	F703	OTHER	MINNESOTA	UCARE GROUP NUMBER
5	9800099	OTHER	MICRONESIA	MEDICA GROUP NUMBER
6	509491027972	OTHER	MINNESOTA	PREFERRED ONE GROUP NUMBE
7	CO3020	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	CLINIC MEDICARE ID NUMBER
8	A001	OTHER	MINNESOTA	TRICARE GROUP NUMBER
9	306C	OTHER		CHOICE PLUS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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