Angeli, Theresa Mercedes
Angeli, Theresa Mercedes is an sole proprietor health care provider with primary practice located at 4641 Roosevelt Blvd , Philadelphia PA 19124-2343. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Angeli, Theresa Mercedes can be contacted via phone (215) 742-7820.Contact Information
Primary practice address
4641 Roosevelt Blvd
Philadelphia PA 19124-2343
Phone: (215) 742-7820
Fax: (215) 742-7808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT015135 | Pennsylvania |
Profile Details
| NPI number | 1326111469 |
|---|---|
| LBN Legal business name | Angeli, Theresa Mercedes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326111469 | NPPES |
| Pennsylvania | MEDICAID | 1017348000001 |
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