Stortvedt, Mark E

Stortvedt, Mark E is an individual health care provider with primary practice located at 333 W Norfolk Ave Ste 201, Norfolk NE 68701-5401. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Stortvedt, Mark E 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 / Mental Health 101YM0800X 1769 Nebraska
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X 1243 Nebraska

Profile Details

NPI number 1831155357
LBN Legal business name Stortvedt, Mark E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1831155357 NPPES
Nebraska Other 84924 BC/BS INDIVIDUAL
Nebraska Other 92015 BC/BS INDIVIDUAL
Nebraska Other 7893 BC/BS INDIVIDUAL
Nebraska MEDICAID 39189435426 BC/BS INDIVIDUAL

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