Stortvedt, Colleen M

Stortvedt, Colleen M is an individual health care provider with primary practice located at 333 W Norfolk Ave Ste 201, Norfolk NE 68701-5401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stortvedt, Colleen M can be contacted via phone (402) 379-2030.

Contact Information

Primary practice address
333 W Norfolk Ave Ste 201 Norfolk NE 68701-5401
Phone: (402) 379-2030
Fax: (402) 379-3933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1252 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2244 Nebraska

Profile Details

NPI number 1649236597
LBN Legal business name Stortvedt, Colleen M
Credentials LIMHP, CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 19th, 2024 - about 7 months 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 1649236597 NPPES
Nebraska MEDICAID 39189435426
Nebraska Other 153885000
Nebraska Other 84248
Nebraska Other 232039

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