Moujid, Bobbi-Jo Lisa

Moujid, Bobbi-Jo Lisa is an individual health care provider with primary practice located at 400 Sibley St Ste 500 , Saint Paul MN 55101-1938. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moujid, Bobbi-Jo Lisa can be contacted via phone (651) 256-1274.

Contact Information

Primary practice address
400 Sibley St Ste 500 Saint Paul MN 55101-1938
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15873 Minnesota

Profile Details

NPI number 1538155247
LBN Legal business name Moujid, Bobbi-Jo Lisa
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Oct 28th, 2014 - about 10 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 1538155247 NPPES
Minnesota Other 217G9AZ BLUE CROSS BLUE SHIELD
Minnesota Other 990991042512 BLUE CROSS BLUE SHIELD
Minnesota Other 1000 BLUE CROSS BLUE SHIELD
Minnesota Other 113155 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 198428400 BLUE CROSS BLUE SHIELD

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