Baldus, James Michael

Baldus, James Michael is an sole proprietor health care provider with primary practice located at 5200 Maywood Rd , Mound MN 55364-1775. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baldus, James Michael can be contacted via phone (952) 472-2408.

Contact Information

Primary practice address
5200 Maywood Rd Mound MN 55364-1775
Phone: (952) 472-2408
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0796 Minnesota

Profile Details

NPI number 1700973773
LBN Legal business name Baldus, James Michael
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Oct 1st, 2019 - about 6 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 1700973773 NPPES
Minnesota MEDICAID 650552000

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