Healthcare Provider Details
I. General information
NPI: 1003289364
Provider Name (Legal Business Name): NP CONNECTION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2015
Last Update Date: 05/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
514 AMERICAS WAY #4968
BOX ELDER SD
57719
US
IV. Provider business mailing address
514 AMERICAS WAY #4968
BOX ELDER SD
57719
US
V. Phone/Fax
- Phone: 941-544-2207
- Fax: 160-559-3014
- Phone: 941-544-2207
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | SD |
VIII. Authorized Official
Name: MR.
ARTHUR
W
SPERLING
Title or Position: MANAGER
Credential:
Phone: 941-544-2207