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AUSTIN DAVID PROMERSBERGER NPI 1629707567


NPI Information

NPI: 1629707567
Provider Name: AUSTIN DAVID PROMERSBERGER
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
420 DELAWARE STREET SE
MMC 292
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5589
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Austin David Promersberger is a student in an organized health care education training program in Minneapolis, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Austin David Promersberger NPI is 1629707567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 DELAWARE STREET SE
MMC 292
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5589

The NPI 1629707567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2022 and was last updated on 4/27/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineRL18678NORTH DAKOTANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3390200000XStudent in an Organized Health Care Education/Training Program33446MINNESOTAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.