Austin, John Vincent
Austin, John Vincent is an sole proprietor health care provider with primary practice located at 3048 Fulton Cir , Clearwater MN 55320-1306. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Austin, John Vincent can be contacted via phone (651) 276-9490.Contact Information
Primary practice address
3048 Fulton Cir
Clearwater MN 55320-1306
Phone: (651) 276-9490
Fax: (320) 558-4066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2614 | Minnesota |
Profile Details
| NPI number | 1336225705 |
|---|---|
| LBN Legal business name | Austin, John Vincent |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2006 |
| Last updated | Jul 6th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336225705 | NPPES |
| Minnesota | MEDICAID | 568847700 |
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