Moglowsky, Neal Ethan
Moglowsky, Neal Ethan is an sole proprietor health care provider with primary practice located at 250 N Sunny Slope Rd Suite 128, Brookfield WI 53005-4809. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Moglowsky, Neal Ethan can be contacted via phone (262) 782-2820.Contact Information
Primary practice address
250 N Sunny Slope Rd Suite 128
Brookfield WI 53005-4809
Phone: (262) 782-2820
Fax: (262) 782-6937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2836-125 | Wisconsin |
Profile Details
| NPI number | 1548250376 |
|---|---|
| LBN Legal business name | Moglowsky, Neal Ethan |
| Credentials | M.S., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1548250376 | NPPES |
| Wisconsin | MEDICAID | 43568300 |
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