Moberg, Elizabeth L

Moberg, Elizabeth L is an sole proprietor health care provider with primary practice located at 1100 Ludington St Suite 301A, Escanaba MI 49829-3542. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moberg, Elizabeth L can be contacted via phone (906) 233-7477.

Contact Information

Primary practice address
1100 Ludington St Suite 301A Escanaba MI 49829-3542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801087072 Michigan

Profile Details

NPI number 1982800710
LBN Legal business name Moberg, Elizabeth L
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Nov 9th, 2014 - about 12 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 1982800710 NPPES
Michigan Other EM087072 BLUE CROSS BLUE SHIELD

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