Mark Bontreger Inc in Watertown - Clinical
Mark Bontreger Inc - NPI 1942496047
Mark Bontreger Inc is a Clinical in Watertown, South Dakota. Mark Bontreger Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Bontreger Inc is 1942496047. The last update date is 2011-06-24.
Mark Bontreger Inc's current location address is 525 5th St Se, Watertown, South Dakota. You can contact this provider via phone number 6058820800 and fax number 6058820861. The mailing address for Mark Bontreger Inc is 525 5th St Se, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mark Bontreger Inc |
---|---|
Address | 525 5th St Se, Watertown, South Dakota |
Phone Number | 6058820800 |
Fax Number | 6058820861 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Bontreger Eldon Mark |
Credentials | PSY.D. |
Telephone Number | 6058820800 |
NPI Number Detail
NPI Number | 1942496047 |
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Provider Enumeration Date | 2007-09-21 |
Last Updated Date | 2011-06-24 |
Provider Mailing Address Detail
Address | 525 5th St Se |
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City | Watertown |
State | South Dakota (SD) |
Post Code | 572014940 |
Phone Number | 6058820800 |
Fax Number | 6058820861 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 103Tc0700X |
Licence No | 364 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Mark Bontreger Inc by the Centers for Medicare & Medicaid Services?
The Mark Bontreger Inc has been assigned the NPI (National Provider Identifier) 1942496047 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark Bontreger Inc?
The Mark Bontreger Inc is physically situated at 525 5Th St Se, in the city of Watertown, state of SD, with the postal code 572014940.
What is the Mark Bontreger Inc's area of specialization and corresponding taxonomy classification?
The Mark Bontreger Inc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Mark Bontreger Inc's 1942496047 issued?
The Mark Bontreger Inc's 1942496047 was issued on 2007-09-21.
When was the information regarding Mark Bontreger Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Bontreger Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-24.
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