Bergan, Angela Mary

Bergan, Angela Mary is an individual health care provider with primary practice located at 307 Wilson St , Postville IA 52162. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bergan, Angela Mary can be contacted via phone (563) 864-7122.

Contact Information

Primary practice address
307 Wilson St Postville IA 52162
Fax: (563) 864-7123
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 00073 Iowa

Profile Details

NPI number 1437323524
LBN Legal business name Bergan, Angela Mary
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Apr 18th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437323524 NPPES
Iowa Other 28723 WELLMARK, INC

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