Fox, Andrew Radin
Fox, Andrew Radin is an individual health care provider with primary practice located at 3525 Monterey Dr , St Louis Park MN 55416-5275. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Fox, Andrew Radin can be contacted via phone (952) 993-6200.Contact Information
Primary practice address
3525 Monterey Dr
St Louis Park MN 55416-5275
Phone: (952) 993-6200
Fax: (952) 993-5631
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
NPI number | 1518594498 |
---|---|
LBN Legal business name | Fox, Andrew Radin |
Credentials | PHD, LP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2020 |
Last updated | Nov 25th, 2023 - about 2 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 | 1518594498 | NPPES |
Minnesota | Other | LP6840 | MINNESOTA BOARD OF PSYCHOLOGY |
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