LIVE HEALTHY PA – NPI #1750759072
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

LIVE HEALTHY PA is a provider located in APPLE VALLEY, MN. NPPES has assigned the NPI number 1750759072 to LIVE HEALTHY PA on September 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 10 years ago on Feb 26, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVE HEALTHY PA below.

NPI Profile for
LIVE HEALTHY PA

NPI Number
1750759072
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVE HEALTHY PA
Primary location
7300 147TH ST W
UNIT 304
APPLE VALLEY, MN 55124-7541
Phone: (952) 431-5330 Fax: (651) 528-6882
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER MASSOGLIA
PRESIDENT
Phone: (651) 334-1290
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)		 MN 43602
207QA0401X
- Family Medicine / Addiction Medicine		 MN 43602
111NS0005X
- Chiropractor / Sports Physician		 MN 2728
111N00000X
- Chiropractor		 MN 2728

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.