Healthcare Provider Details

I. General information

NPI: 1568540532
Provider Name (Legal Business Name): ASSOCIATED PARTNERSHIP LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6591 WEST HIGHWAY 13
SAVAGE MN
55378
US

IV. Provider business mailing address

6591 HIGHWAY 13
SAVAGE MN
55378
US

V. Phone/Fax

Practice location:
  • Phone: 952-890-7851
  • Fax: 952-890-1903
Mailing address:
  • Phone: 952-890-7851
  • Fax: 952-890-1903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number StateMN

VIII. Authorized Official

Name: MS. SUE P ERICKSON
Title or Position: ADMINISTRATIVE
Credential:
Phone: 952-890-7851