Holmberg, Sharon B
Holmberg, Sharon B is an individual health care provider with primary practice located at 280 Mattingly Rd , Vicksburg MS 39180-7689. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holmberg, Sharon B can be contacted via phone (601) 529-8913.Contact Information
Primary practice address
280 Mattingly Rd
Vicksburg MS 39180-7689
Phone: (601) 529-8913
Fax: (601) 661-8457
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C5390 | Mississippi |
Profile Details
NPI number | 1689774937 |
---|---|
LBN Legal business name | Holmberg, Sharon B |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Jun 15th, 2015 - 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 | 1689774937 | NPPES |
Mississippi | MEDICAID | 05475070 |
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