Angeles, Victor R

Angeles, Victor R is an individual health care provider with primary practice located at 908 Wallace Ave , Leitchfield KY 42754-1479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Angeles, Victor R can be contacted via phone (270) 230-0212.

Contact Information

Primary practice address
908 Wallace Ave Leitchfield KY 42754-1479
Fax: (270) 230-0104
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 37612 Kentucky

Profile Details

NPI number 1922003532
LBN Legal business name Angeles, Victor R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 1st, 2012 - about 12 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 1922003532 NPPES
Kentucky MEDICAID 64057722
Kentucky Other 000000333566
Kentucky Other 2444879000
Kentucky Other 50003444

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