Vitzthum, Angela

Vitzthum, Angela is an individual health care provider with primary practice located at 200 Avenue O , Fort Dodge IA 50501-5728. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vitzthum, Angela can be contacted via phone (515) 890-1233.

Contact Information

Primary practice address
200 Avenue O Fort Dodge IA 50501-5728
Phone: (515) 890-1233
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 076943 Iowa

Profile Details

NPI number 1801277579
LBN Legal business name Vitzthum, Angela
Credentials BS, MS, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Nov 6th, 2019 - about 5 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 1801277579 NPPES
Iowa MEDICAID 0159608
Iowa Other 07466

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