MEDICARE: ON SITE INTERPRETERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	24084832	MN

General Provider Information

NPI Number	:	1861681462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON SITE INTERPRETERS

Provider Business Mailing Address
First Line	:	207 E LAKE ST
Second Line	:	SUITE 208
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2473
Country	:	US
Telephone Number	:	612-821-0005
Fax Number	:	612-821-0007

Provider Business Practice Location Address
First Line	:	207 E LAKE ST
Second Line	:	SUITE 208
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2473
Country	:	US
Telephone Number	:	612-821-0005
Fax Number	:	612-821-0007

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MISS SAMANTHA CORTEZ
Credential	:
Telephone Number	:	612-821-0005

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	10/18/2007

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