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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1013964253 NPPES
North Dakota MEDICAID 51326
North Dakota Other 23089

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