Ujifusa, Ken

Ujifusa, Ken is an individual health care provider with primary practice located at 1665 Utica Ave S Ste 100 , St Louis Park MN 55416-3476. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Ujifusa, Ken can be contacted via phone (952) 541-2500.

Contact Information

Primary practice address
1665 Utica Ave S Ste 100 St Louis Park MN 55416-3476
Phone: (952) 541-2500
Fax: (952) 541-2539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 166404 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07187 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 7187 Minnesota

Profile Details

NPI number 1528265576
LBN Legal business name Ujifusa, Ken
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 29th, 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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