Michael J Moller Pa

LBN: Michael J Moller Pa
Michael J Moller Pa is an health care organization with primary practice located at 900 6Th St N Suite 102, Hudson WI 54016-7171. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Michael J Moller Pa can be contacted via phone (715) 386-0856, or through Moller, Michael J via phone (715) 386-0856.

Contact Information

Primary practice address
900 6Th St N Suite 102 Hudson WI 54016-7171
Fax: (715) 386-0948
Website:
Authorized official contact:
Name: Moller, Michael J PSYD, LP, ABPP

Profile Details

NPI number 1992000657
LBN Legal business name Michael J Moller Pa
DBA Doing business as
Authorized official Moller, Michael J PSYD, LP, ABPP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2011
Last updated Jan 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992000657 NPPES
Minnesota MEDICAID 880824400
Minnesota MEDICAID 39739300

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