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
Fax: (601) 661-8457
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689774937 NPPES
Mississippi MEDICAID 05475070

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