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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073593620 NPPES
Minnesota MEDICAID 308222900

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