Organization Name: | HEALTH ACTIVATION SERVICES, PLLC |
NPI Number: | 1053649632 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER DUNLEAVY (HR) |
Mailing Address: | 4080 W Broadway Ave #200 Robbinsdale |
State: | MN US |
Postal Code: | 554225604 |
Phone Number: | 7633988888 |
Fax Number: | 7633980670 |
NPI Enumeration Date: | 11/19/2009 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | 1748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |