| Jls Consulting, Inc | |
|
2736 Hennepin Ave Minneapolis MN 55408-1037 | |
| (612) 790-0080 | |
| Not Available |
| Full Name | Jls Consulting, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2736 Hennepin Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | James Lloyd Stolz (OWNER) |
| Authorized Official Contact | 6127993696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jls Consulting, Inc 2736 Hennepin Ave Minneapolis MN 55408-1037 Ph: (612) 790-0080 | Jls Consulting, Inc 2736 Hennepin Ave Minneapolis MN 55408-1037 Ph: (612) 790-0080 |
| NPI Number | 1295096469 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Medicare PECOS PAC ID | 6709202310 |
|---|---|
| Medicare Enrollment ID | O20200813001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295096469 | NPI | - | NPPES |
| 952968300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16011 (Minnesota) | Primary |
| Provider Name | James L Stolz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649296658 PECOS PAC ID: 8527073923 Enrollment ID: I20060207000060 |
| Provider Name | Paul L Paladie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346704871 PECOS PAC ID: 3274934492 Enrollment ID: I20210625001125 |
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