| Morgan M Kupsinel Sole Mbg | |
|
427 E Kanesville Blvd Suite 305 Council Bluffs IA 51503-9079 | |
| (402) 999-0813 | |
| (712) 248-8813 |
| Full Name | Morgan M Kupsinel Sole Mbg |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 427 E Kanesville Blvd, Council Bluffs, Iowa |
| Authorized Official Name and Position | Morgan M Kupsinel (DIRECTOR) |
| Authorized Official Contact | 4022137379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morgan M Kupsinel Sole Mbg 6710 Mason St Omaha NE 68106-1138 Ph: (402) 213-7379 | Morgan M Kupsinel Sole Mbg 427 E Kanesville Blvd Suite 305 Council Bluffs IA 51503-9079 Ph: (402) 999-0813 |
| NPI Number | 1407267305 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Medicare PECOS PAC ID | 0648493346 |
|---|---|
| Medicare Enrollment ID | O20140528000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407267305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 06785 (Iowa) | Primary |
| Provider Name | Morgan M Kupsinel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629023312 PECOS PAC ID: 5890709661 Enrollment ID: I20081218000106 |
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