Proficio Ancillary Service Provider, LLC
Proficio Ancillary Service Provider, LLC is a Durable Medical Equipment & Medical Supplies in Edina, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4445 W 77th St Ste 208Edina, MN 55435-5190
Phone: (952) 562-2900
Fax: (248) 487-9442
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Transportation Broker | Taxonomy 347E00000X |
Record details
| NPI number | 1366139768 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Capagli — Coo · (952) 562-2900 |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | April 18, 2023 |
| Certification date | April 18, 2023 |
| Mailing address | 7455 France Ave S Ste 373, Edina, MN 55435-4702 |
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