James Edward Boscardin in Shoreview - Forensic

James Edward Boscardin - NPI 1972682847

James Edward Boscardin is a Forensic in Shoreview, Minnesota. James Edward Boscardin practices all healthcare services and medical treatments related to Forensic. 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 Forensic
Taxonomy 103Tf0200X
Licence No LP0709
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
710552500 MN --

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FAQs about James Edward Boscardin

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 Forensic, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0200X.

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.

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