Park, Joellen Marie Bosch
Park, Joellen Marie Bosch is an sole proprietor health care provider with primary practice located at 3757 Edith Patch Dr , Anoka MN 55303-8309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Park, Joellen Marie Bosch can be contacted via phone (612) 813-6138.Contact Information
Primary practice address
3757 Edith Patch Dr
Anoka MN 55303-8309
Phone: (612) 813-6138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11609 | Minnesota |
Profile Details
| NPI number | 1083909212 |
|---|---|
| LBN Legal business name | Park, Joellen Marie Bosch |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Jun 15th, 2011 - about 15 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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