Koeneke, Michelle Maria

Koeneke, Michelle Maria is an individual health care provider with primary practice located at Dumc 3868 , Durham NC 27710-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koeneke, Michelle Maria can be contacted via phone (919) 684-3938.

Contact Information

Primary practice address
Dumc 3868 Durham NC 27710-0001
Phone: (919) 684-3938
Fax: (919) 681-9909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007947 North Carolina

Profile Details

NPI number 1144565631
LBN Legal business name Koeneke, Michelle Maria
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Jun 7th, 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 1144565631 NPPES
North Carolina MEDICAID 6009250

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