Angel, Cynthia R

Angel, Cynthia R is an individual health care provider with primary practice located at 11919 W Sprague Ave , Airway Heights WA 99001-5295. 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. Angel, Cynthia R can be contacted via phone (509) 244-6700.

Contact Information

Primary practice address
11919 W Sprague Ave Airway Heights WA 99001-5295
Phone: (509) 244-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CO61362679 Washington

Profile Details

NPI number 1306558267
LBN Legal business name Angel, Cynthia R
Credentials SUDPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2022
Last updated Dec 21st, 2022 - about 3 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 1306558267 NPPES
Washington MEDICAID 2077844

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