Bosl, Diane

Bosl, Diane is an individual health care provider with primary practice located at 818 2Nd St S Suite 180, Waite Park MN 56387-4528. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bosl, Diane can be contacted via phone (320) 257-1800.

Contact Information

Primary practice address
818 2Nd St S Suite 180 Waite Park MN 56387-4528
Phone: (320) 257-1800
Fax: (320) 257-1801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 2823 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 7148 Minnesota

Profile Details

NPI number 1689765232
LBN Legal business name Bosl, Diane
Credentials MS LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 24th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689765232 NPPES
Minnesota MEDICAID 928250500

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