Minto, James Gordon

Minto, James Gordon is an sole proprietor health care provider with primary practice located at 507 Denali Pass Ste 105 , Cedar Park TX 78613-7979. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Minto, James Gordon can be contacted via phone (844) 824-8775.

Contact Information

Primary practice address
507 Denali Pass Ste 105 Cedar Park TX 78613-7979
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 35983 Texas

Profile Details

NPI number 1962586180
LBN Legal business name Minto, James Gordon
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jan 9th, 2023 - about last year

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 1962586180 NPPES
Texas Other 0007800054 AETNA
Texas MEDICAID 143465603 AETNA
Texas Other 00007JB AETNA
Texas Other 317895 AETNA
Texas Other 079049 AETNA
Texas Other 146452000 AETNA
Texas Other 1756453 AETNA
Texas Other 244277 AETNA
Texas Other 203630 AETNA

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