Knudson, James W

Knudson, James W is an individual health care provider with primary practice located at 2545 Chicago Ave Suite 701, Minneapolis MN 55404-4522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Knudson, James W can be contacted via phone (612) 863-5327.

Contact Information

Primary practice address
2545 Chicago Ave Suite 701 Minneapolis MN 55404-4522
Phone: (612) 863-5327
Fax: (612) 863-2596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21613 Minnesota

Profile Details

NPI number 1912966151
LBN Legal business name Knudson, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912966151 NPPES
Minnesota MEDICAID 95002700

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