Provax LLC
Provax LLC is a Community Health Clinic/Center in Chanhassen, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.
- Licensed in
- MN
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2018 Stone Creek DrChanhassen, MN 55317-7410
Phone: (952) 470-6005
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
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X · Licence R106374-5 (MN) |
|---|
Record details
| NPI number | 1619202934 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cindy Egelston — Owner · (952) 470-6005 |
| NPI enumerated | October 5, 2009 |
| Last updated in NPPES | October 5, 2009 |
| Mailing address | 2018 Stone Creek Dr, Chanhassen, MN 55317-7410 |