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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548250376 NPPES
Wisconsin MEDICAID 43568300

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