Moede, Gina M

Moede, Gina M is an individual health care provider with primary practice located at 2640 W Point Rd , Green Bay WI 54304-1344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moede, Gina M can be contacted via phone (920) 869-2711.

Contact Information

Primary practice address
2640 W Point Rd Green Bay WI 54304-1344
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13113 Wisconsin

Profile Details

NPI number 1699765164
LBN Legal business name Moede, Gina M
Credentials RADCI
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 19th, 2008 - about 16 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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