Monson, Joshua Wayne

Monson, Joshua Wayne is an individual health care provider with primary practice located at 4140 Richard Ave Ste 200 , Hermantown MN 55811-3309. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Monson, Joshua Wayne can be contacted via phone (218) 514-5230.

Contact Information

Primary practice address
4140 Richard Ave Ste 200 Hermantown MN 55811-3309
Phone: (218) 514-5230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063087435
LBN Legal business name Monson, Joshua Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2021
Last updated May 26th, 2021 - about 3 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 1063087435 NPPES
Minnesota MEDICAID 1588993091

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