Roetzel, Misty Angelique

Roetzel, Misty Angelique is an individual health care provider with primary practice located at 2227 W Main St Suite 3, Jacksonville AR 72076-4207. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Roetzel, Misty Angelique can be contacted via phone (501) 985-9944.

Contact Information

Primary practice address
2227 W Main St Suite 3 Jacksonville AR 72076-4207
Phone: (501) 985-9944
Fax: (501) 985-6590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X

Profile Details

NPI number 1295131399
LBN Legal business name Roetzel, Misty Angelique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Nov 17th, 2014 - about 10 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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