Hagermoser, Elizabeth Marie

Hagermoser, Elizabeth Marie is an individual health care provider with primary practice located at 7633 Ganser Way Ste 204 , Madison WI 53719-2092. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Hagermoser, Elizabeth Marie can be contacted via phone (608) 829-1800.

Contact Information

Primary practice address
7633 Ganser Way Ste 204 Madison WI 53719-2092
Phone: (608) 829-1800
Fax: (608) 829-1885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 10565 Nebraska
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3506-57 Wisconsin

Profile Details

NPI number 1518340637
LBN Legal business name Hagermoser, Elizabeth Marie
Credentials LP,
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Jul 21st, 2022 - about 2 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 1518340637 NPPES
Nebraska MEDICAID 47037660631
Nebraska MEDICAID 47037660624
Nebraska MEDICAID 10026139700

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