Ang, Ellen T

Ang, Ellen T is an individual health care provider with primary practice located at 521 N Young St , Kennewick WA 99336-7806. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ang, Ellen T can be contacted via phone (509) 585-5222.

Contact Information

Primary practice address
521 N Young St Kennewick WA 99336-7806
Fax: (509) 585-5271
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00043493 Washington

Profile Details

NPI number 1184620759
LBN Legal business name Ang, Ellen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Dec 8th, 2011 - 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 1184620759 NPPES
Washington MEDICAID 1184620759

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