Oldenburg, Michael John

Oldenburg, Michael John is an sole proprietor health care provider with primary practice located at 3815 Harrison Ave , Rockford IL 61108-7631. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Oldenburg, Michael John can be contacted via phone (815) 540-6151.

Contact Information

Primary practice address
3815 Harrison Ave Rockford IL 61108-7631
Phone: (815) 540-6151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.017532 Illinois

Profile Details

NPI number 1851057475
LBN Legal business name Oldenburg, Michael John
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2021
Last updated Nov 9th, 2021 - about 4 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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