Wirtz, Alycia Julia

Wirtz, Alycia Julia is an individual health care provider with primary practice located at 720 Kenyon Rd , Fort Dodge IA 50501-5759. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wirtz, Alycia Julia can be contacted via phone (800) 482-8305.

Contact Information

Primary practice address
720 Kenyon Rd Fort Dodge IA 50501-5759
Phone: (800) 482-8305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 101549 Iowa

Profile Details

NPI number 1447846167
LBN Legal business name Wirtz, Alycia Julia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2020
Last updated Dec 16th, 2020 - about 6 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 1447846167 NPPES
Iowa MEDICAID 0159608
Iowa Other 07466

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