Moresco-Goniu, Carol Lynn

Moresco-Goniu, Carol Lynn is an sole proprietor health care provider with primary practice located at 7733 W Burleigh St , Milwaukee WI 53222-5003. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Moresco-Goniu, Carol Lynn can be contacted via phone (262) 347-8848.

Contact Information

Primary practice address
7733 W Burleigh St Milwaukee WI 53222-5003
Phone: (262) 347-8848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 1151-057 Wisconsin

Profile Details

NPI number 1295788115
LBN Legal business name Moresco-Goniu, Carol Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Mar 6th, 2024 - about last year

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 1295788115 NPPES
Wisconsin Other 06146328001 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 39106900 BLUE CROSS BLUE SHIELD

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