Provider Demographics
NPI:1225100811
Name:POSTHUMUS & BIORN, INC.
Entity Type:Organization
Organization Name:POSTHUMUS & BIORN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTHUMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-497-2040
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-0279
Mailing Address - Country:US
Mailing Address - Phone:763-497-2040
Mailing Address - Fax:
Practice Address - Street 1:399 CENTRAL AVE E
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-0279
Practice Address - Country:US
Practice Address - Phone:763-497-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty