Sjoholm, Amy J
Sjoholm, Amy J is an sole proprietor health care provider with primary practice located at 3308 W Capital Ave , Grand Island NE 68803-1333. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sjoholm, Amy J can be contacted via phone (402) 879-5755.Contact Information
Primary practice address
3308 W Capital Ave
Grand Island NE 68803-1333
Phone: (402) 879-5755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9643 | Nebraska |
Profile Details
| NPI number | 1588923783 |
|---|---|
| LBN Legal business name | Sjoholm, Amy J |
| Credentials | LMHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2012 |
| Last updated | Jul 21st, 2016 - about 10 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 | 1588923783 | NPPES |
| Nebraska | MEDICAID | 10026475600 |
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