Jones, Dick D

Jones, Dick D is an sole proprietor health care provider with primary practice located at 821 Raymond Ave #330, Saint Paul MN 55114-1503. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jones, Dick D can be contacted via phone (651) 642-9255.

Contact Information

Primary practice address
821 Raymond Ave #330 Saint Paul MN 55114-1503
Phone: (651) 642-9255
Fax: (651) 642-1506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP-0361 Minnesota

Profile Details

NPI number 1912906215
LBN Legal business name Jones, Dick D
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Apr 3rd, 2012 - about 12 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 1912906215 NPPES
Other 45696 HP
MEDICAID 412247000 HP
Other 11611 HP

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