Boswell, Ernest

Boswell, Ernest is an sole proprietor health care provider with primary practice located at 1478 Sterling St N , Maplewood MN 55119-7179. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boswell, Ernest can be contacted via phone (651) 330-8610.

Contact Information

Primary practice address
1478 Sterling St N Maplewood MN 55119-7179
Fax: (651) 330-8610
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0771 Minnesota

Profile Details

NPI number 1437155801
LBN Legal business name Boswell, Ernest
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1437155801 NPPES
Minnesota Other 91D05BO BCBS

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