Jankord, John Lamont
Jankord, John Lamont is an individual health care provider with primary practice located at 5354 Parkdale Dr Ste 375 , St Louis Park MN 55416-1612. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Jankord, John Lamont can be contacted via phone (952) 224-0399.Contact Information
Primary practice address
5354 Parkdale Dr Ste 375
St Louis Park MN 55416-1612
Phone: (952) 224-0399
Fax: (952) 224-0396
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301574 | Minnesota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 00054 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1044 | Minnesota |
Profile Details
NPI number | 1215938410 |
---|---|
LBN Legal business name | Jankord, John Lamont |
Credentials | JOHN JANKORD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Oct 2nd, 2009 - about 15 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 | 1215938410 | NPPES |
Minnesota | MEDICAID | 160708100 |
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