Schirvar, Joel Augustine
Schirvar, Joel Augustine is an individual health care provider with primary practice located at 1811 Weir Dr Suite 270, Woodbury MN 55125-2272. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Schirvar, Joel Augustine can be contacted via phone (651) 714-9646.Contact Information
Primary practice address
1811 Weir Dr Suite 270
Woodbury MN 55125-2272
Phone: (651) 714-9646
Fax: (651) 714-9647
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | LP3855 | Minnesota |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2179-057 | Wisconsin |
Profile Details
NPI number | 1073593620 |
---|---|
LBN Legal business name | Schirvar, Joel Augustine |
Credentials | PYSD LP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2006 |
Last updated | Aug 28th, 2014 - about 11 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 | 1073593620 | NPPES |
Minnesota | MEDICAID | 308222900 |
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