TRES SOLES MEDICAL CLINIC & SPA LLC NPI 1013031947

NPI Information

NPI: 1013031947
Provider Name: TRES SOLES MEDICAL CLINIC & SPA, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 17D1030307

Address:
503 OREGON ST
HIAWATHA, KS
ZIP 66434
Phone: (785) 742-4100
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TRES SOLES MEDICAL CLINIC & SPA, LLC is a health service clinic center in Hiawatha, KS. TRES SOLES MEDICAL CLINIC & SPA, LLC NPI is 1013031947. The provider is registered as an organization entity type.

The provider's business location address is:

503 OREGON ST
HIAWATHA, KS
ZIP 66434-221
Phone: (785) 742-4100
Fax: (785) 742-4101

The provider's authorized official is Deborah Diane Stoner-bryan .
The authorized official title is Owner and has the following contact phone number (785) 742-4100.

The CLIA number assigned to this NPI record is 17D1030307 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/17/2007 and was last updated on 8/22/2020.

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	261QH0100X	Clinic/Center	Health Service			Yes

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: 5/5/2024

NPI Synchronization or Removal

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