Koerner, Michelle J.

Koerner, Michelle J. is an sole proprietor health care provider with primary practice located at 1310 Hrc Plaza Dr , Lake St Louis MO 63367-1869. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Koerner, Michelle J. can be contacted via phone (636) 339-4475.

Contact Information

Primary practice address
1310 Hrc Plaza Dr Lake St Louis MO 63367-1869
Phone: (636) 339-4475
Fax: (636) 201-3379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH21728 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 002488 Missouri

Profile Details

NPI number 1093869745
LBN Legal business name Koerner, Michelle J.
Credentials MED, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jun 28th, 2024 - about 6 months 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 1093869745 NPPES
Missouri MEDICAID 499774008

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