Von Phelps, Renee Ann
Von Phelps, Renee Ann is an individual health care provider with primary practice located at 827 N Main St , Marion OH 43302-1736. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Von Phelps, Renee Ann can be contacted via phone (740) 914-5000.Contact Information
Primary practice address
827 N Main St
Marion OH 43302-1736
Phone: (740) 914-5000
Fax: (740) 914-5005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.161684 | Ohio |
Profile Details
| NPI number | 1710477955 |
|---|---|
| LBN Legal business name | Von Phelps, Renee Ann |
| Credentials | LCDC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2018 |
| Last updated | Feb 3rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710477955 | NPPES |
| Ohio | MEDICAID | 0284130 |
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