Legwold, Jane A

Legwold, Jane A is an individual health care provider with primary practice located at 4601 Excelsior Blvd Suite 501D, St Louis Park MN 55416. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Legwold, Jane A can be contacted via phone (952) 926-3744.

Contact Information

Primary practice address
4601 Excelsior Blvd Suite 501D St Louis Park MN 55416
Phone: (952) 926-3744
Fax: (952) 926-3735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0070 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R0794196 Minnesota

Profile Details

NPI number 1518092642
LBN Legal business name Legwold, Jane A
Credentials RN CNS MSN LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 6th, 2013 - about 13 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 1518092642 NPPES
Minnesota MEDICAID 717755100
Minnesota Other 081N5LE
Minnesota Other 082N5LE
Minnesota Other 60068LE
Minnesota Other 6293312

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