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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1528193919 NPPES
Indiana MEDICAID 100154150A

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