Mitzel, Madonna A.
Mitzel, Madonna A. is an individual health care provider with primary practice located at 1702 E Main St Ste 103 , Mandan ND 58554-3818. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mitzel, Madonna A. can be contacted via phone (701) 415-0000.Contact Information
Primary practice address
1702 E Main St Ste 103
Mandan ND 58554-3818
Phone: (701) 415-0000
Fax: (833) 969-0195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 929 | North Dakota |
Profile Details
NPI number | 1013964253 |
---|---|
LBN Legal business name | Mitzel, Madonna A. |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2006 |
Last updated | Jun 15th, 2023 - about last year |
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 | 1013964253 | NPPES |
North Dakota | MEDICAID | 51326 | |
North Dakota | Other | 23089 |
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