Organization
NORTHSTAR CIRCLE OF COMPANIES, INC.
Active
Other names
NCC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN WEBER PH.D. (AUDIOLOGIST OWNER)
(651) 646-0471
Entity
Organization
Contact information
Practice address
2381 CARTER AVE, SAINT PAUL, MN 55108-1625
(651) 646-0471
(651) 646-0470
Mailing address
PO BOX 8116, SAINT PAUL, MN 55108-0116
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002228315002
UNITED HEALTHCARE
—
01
—
101102
UCARE MINNESOTA
MN
01
—
12696NO
BCBS
—
01
—
45-00015
MEDICA (SALT LAKE CITY)
—
05
—
634553100
—
MN
01
—
6396
HEALTHPARTNERS
MN
Enumeration date
04/19/2007
Last updated
06/04/2008
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