Orvis, Angela M
Orvis, Angela M is an individual health care provider with primary practice located at 4555 W Schroeder Dr , Brown Deer WI 53223-1475. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Orvis, Angela M can be contacted via phone (800) 767-4411.Contact Information
Primary practice address
4555 W Schroeder Dr
Brown Deer WI 53223-1475
Phone: (800) 767-4411
Fax: (414) 797-0804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3628-57 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3628-57 | Wisconsin |
Profile Details
NPI number | 1083188122 |
---|---|
LBN Legal business name | Orvis, Angela M |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2019 |
Last updated | Jan 11th, 2019 - about 6 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 | 1083188122 | NPPES |
Wisconsin | Other | 3628-57 | STATE LICENSE |
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