Jeffrey, Justin David
Jeffrey, Justin David is an individual health care provider with primary practice located at 6550 York Ave S Ste 417 , Edina MN 55435-2336. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jeffrey, Justin David can be contacted via phone (952) 426-3034.Contact Information
Primary practice address
6550 York Ave S Ste 417
Edina MN 55435-2336
Phone: (952) 426-3034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22560 | Minnesota |
Profile Details
| NPI number | 1942670039 |
|---|---|
| LBN Legal business name | Jeffrey, Justin David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2015 |
| Last updated | Jan 31st, 2023 - 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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