Mcguire, Timothy Edward

Mcguire, Timothy Edward is an individual health care provider with primary practice located at 1711 County Road B W Suite 200 South, Roseville MN 55113-4057. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcguire, Timothy Edward can be contacted via phone (651) 635-0477.

Contact Information

Primary practice address
1711 County Road B W Suite 200 South Roseville MN 55113-4057
Phone: (651) 635-0477
Fax: (651) 635-0454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1306843586
LBN Legal business name Mcguire, Timothy Edward
Credentials LICSW, BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
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 1306843586 NPPES
Minnesota Other 068MOMC BLUE CROSS BLUE SHIELD

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