Moeller, Michael L
Moeller, Michael L is an sole proprietor health care provider with primary practice located at 600 Reed St Suite 115, Mankato MN 56001-6410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moeller, Michael L can be contacted via phone (507) 625-4060.Contact Information
Primary practice address
600 Reed St Suite 115
Mankato MN 56001-6410
Phone: (507) 625-4060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 39584 | Minnesota |
Profile Details
| NPI number | 1598765877 |
|---|---|
| LBN Legal business name | Moeller, Michael L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 1st, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598765877 | NPPES |
| Minnesota | Other | HP24849 | HEALTH PARTNERS |
| Minnesota | MEDICAID | 531214100 | HEALTH PARTNERS |
| Minnesota | Other | 122727D113 | HEALTH PARTNERS |
| Minnesota | Other | 359J1MO | HEALTH PARTNERS |
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