Moeller, Mary P

Moeller, Mary P is an individual health care provider with primary practice located at 425 N 30Th St , Omaha NE 68131-2100. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Moeller, Mary P can be contacted via phone (402) 452-5000.

Contact Information

Primary practice address
425 N 30Th St Omaha NE 68131-2100
Phone: (402) 452-5000
Fax: (402) 452-5028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 43 Nebraska
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 43 Nebraska

Profile Details

NPI number 1861543084
LBN Legal business name Moeller, Mary P
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Nov 22nd, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861543084 NPPES
Nebraska Other 06606 BCBS BT
Nebraska MEDICAID 0586982 BCBS BT
Nebraska MEDICAID 3586982 BCBS BT
Nebraska MEDICAID 1586982 BCBS BT
Nebraska MEDICAID 100251703-00 BCBS BT
Nebraska Other 06610 BCBS BT
Nebraska MEDICAID 100251704-00 BCBS BT
Nebraska MEDICAID 2586982 BCBS BT

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