Roegner, Angela Michelle
Roegner, Angela Michelle is an individual health care provider with primary practice located at 702 W Alto Road , Kokomo IN 46902. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roegner, Angela Michelle can be contacted via phone (765) 453-7422.Contact Information
Primary practice address
702 W Alto Road
Kokomo IN 46902
Phone: (765) 453-7422
Fax: (765) 453-3773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004635A | Indiana |
Profile Details
| NPI number | 1528193919 |
|---|---|
| LBN Legal business name | Roegner, Angela Michelle |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Apr 3rd, 2012 - about 12 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 | 1528193919 | NPPES |
| Indiana | MEDICAID | 100154150A |
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