Wollberg, Andy
Wollberg, Andy is an individual health care provider with primary practice located at 2041 E 56Th St , Kearney NE 68847-4179. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wollberg, Andy can be contacted via phone (308) 236-7145.Contact Information
Primary practice address
2041 E 56Th St
Kearney NE 68847-4179
Phone: (308) 236-7145
Fax: (308) 236-7150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2375 | Nebraska |
Profile Details
| NPI number | 1932312733 |
|---|---|
| LBN Legal business name | Wollberg, Andy |
| Credentials | LMHP, CPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1932312733 | NPPES |
| Nebraska | MEDICAID | 47079796127 |
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