Kasl, Jack
Kasl, Jack is an sole proprietor health care provider with primary practice located at 1790 11Th St Se , Forest Lake MN 55025-1968. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kasl, Jack can be contacted via phone (612) 867-8451.Contact Information
Primary practice address
1790 11Th St Se
Forest Lake MN 55025-1968
Phone: (612) 867-8451
Fax: (763) 552-0787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1955 | Minnesota |
Profile Details
| NPI number | 1174614150 |
|---|---|
| LBN Legal business name | Kasl, Jack |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| 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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