Moers, Penny J
Moers, Penny J is an individual health care provider with primary practice located at 250 Alpine Dr , Shelbyville KY 40065-8880. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moers, Penny J can be contacted via phone (502) 633-5683.Contact Information
Primary practice address
250 Alpine Dr
Shelbyville KY 40065-8880
Phone: (502) 633-5683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3920 | Kentucky |
Profile Details
| NPI number | 1033389770 |
|---|---|
| LBN Legal business name | Moers, Penny J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2008 |
| Last updated | Mar 11th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033389770 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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