Vonengeln, Timothy

Vonengeln, Timothy is an individual health care provider with primary practice located at 1805 E Walnut St , Columbia MO 65201-6425. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vonengeln, Timothy can be contacted via phone (573) 777-7500.

Contact Information

Primary practice address
1805 E Walnut St Columbia MO 65201-6425
Phone: (573) 777-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW000347 Missouri

Profile Details

NPI number 1285688622
LBN Legal business name Vonengeln, Timothy
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 24th, 2013 - about 13 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 1285688622 NPPES
Missouri MEDICAID 496787011
Missouri Other 800007095

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