James Edward Boscardin in Shoreview - Adult Development & Aging
James Edward Boscardin - NPI 1972682847
James Edward Boscardin is a Adult Development & Aging in Shoreview, Minnesota. James Edward Boscardin practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for James Edward Boscardin is 1972682847. The last update date is 2011-11-18.
James Edward Boscardin's current location address is 1092 Lawnview Ave, Shoreview, Minnesota. You can contact this provider via phone number 6127190856 and fax number 6514848551. The mailing address for James Edward Boscardin is 1092 Lawnview Ave, Shoreview, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edward Boscardin |
|---|---|
| Address | 1092 Lawnview Ave, Shoreview, Minnesota |
| Phone Number | 6127190856 |
| Fax Number | 6514848551 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1972682847 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2011-11-18 |
Provider Mailing Address Detail
| Address | 1092 Lawnview Ave |
|---|---|
| City | Shoreview |
| State | Minnesota (MN) |
| Post Code | 551268408 |
| Phone Number | 6127190856 |
| Fax Number | 6514848551 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | LP0709 |
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Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 710552500 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James Edward Boscardin by the Centers for Medicare & Medicaid Services?
The James Edward Boscardin has been issued the NPI (National Provider Identifier) 1972682847 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where James Edward Boscardin is located?
The James Edward Boscardin is situated at the following address: 1092 Lawnview Ave, Shoreview, MN, 551268408.
What is James Edward Boscardin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James Edward Boscardin's specialized field of practice is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972682847 to James Edward Boscardin?
The James Edward Boscardin received its 1972682847 assignment from the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information regarding James Edward Boscardin most recently updated?
The details pertaining to the James Edward Boscardin, including its address, specialty, and other relevant information, were last refreshed on 2011-11-18.