Boscardin, James Edward
Boscardin, James Edward is an sole proprietor health care provider with primary practice located at 8085 Wayzata Blvd Suite 100B, Golden Valley MN 55426-1453. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Boscardin, James Edward can be contacted via phone (612) 719-0856.Contact Information
Primary practice address
8085 Wayzata Blvd Suite 100B
Golden Valley MN 55426-1453
Phone: (612) 719-0856
Fax: (651) 484-8551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | LP0709 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP0709 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP0709 | Minnesota |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | LP0709 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP0709 | Minnesota |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | LP0709 | Minnesota |
Profile Details
| NPI number | 1972682847 |
|---|---|
| LBN Legal business name | Boscardin, James Edward |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Nov 18th, 2011 - about 13 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 | 1972682847 | NPPES |
| Minnesota | MEDICAID | 710552500 |
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