Moujid, Bobbi-Jo Lisa
Moujid, Bobbi-Jo Lisa is an individual health care provider with primary practice located at 400 Sibley St Ste 500 , Saint Paul MN 55101-1938. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moujid, Bobbi-Jo Lisa can be contacted via phone (651) 256-1274.Contact Information
Primary practice address
400 Sibley St Ste 500
Saint Paul MN 55101-1938
Phone: (651) 256-1274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 15873 | Minnesota |
Profile Details
| NPI number | 1538155247 |
|---|---|
| LBN Legal business name | Moujid, Bobbi-Jo Lisa |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Oct 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538155247 | NPPES |
| Minnesota | Other | 217G9AZ | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 990991042512 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 1000 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 113155 | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 198428400 | BLUE CROSS BLUE SHIELD |
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