Kofsky, Richard David
Kofsky, Richard David is an sole proprietor health care provider with primary practice located at 9701 Sandra Ln , Minnetonka MN 55305-4632. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Kofsky, Richard David can be contacted via phone (952) 935-7864.Contact Information
Primary practice address
9701 Sandra Ln
Minnetonka MN 55305-4632
Phone: (952) 935-7864
Fax: (952) 935-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP2471 | Minnesota |
Profile Details
| NPI number | 1255496527 |
|---|---|
| LBN Legal business name | Kofsky, Richard David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255496527 | NPPES |
| Minnesota | MEDICAID | 572024900 | |
| Minnesota | Other | 6169755 | |
| Minnesota | Other | 9H438KO |
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