Angela Stathopoulos

LBN: Angela Stathopoulos
Angela Stathopoulos is an health care organization with primary practice located at 4084 Okemos Rd Ste A , Okemos MI 48864-3258. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Angela Stathopoulos can be contacted via phone (517) 347-4848, or through Campos, Jessica Maria via phone (517) 347-4848.

Contact Information

Primary practice address
4084 Okemos Rd Ste A Okemos MI 48864-3258
Phone: (517) 347-4848
Fax: (517) 347-4844
Website:
Map and Directions
Authorized official contact:
Name: Campos, Jessica Maria
Phone: (517) 347-4848

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1710622675
LBN Legal business name Angela Stathopoulos
DBA Doing business as
Authorized official Campos, Jessica Maria
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2022
Last updated May 4th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710622675 NPPES
Michigan Other 4704235236 STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

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