Angeline, Jeffrey Alan

Angeline, Jeffrey Alan is an individual health care provider with primary practice located at 5914 Wolfpen Pleasant Hill Rd Suite D, Milford OH 45150-3078. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Angeline, Jeffrey Alan can be contacted via phone (513) 575-7878.

Contact Information

Primary practice address
5914 Wolfpen Pleasant Hill Rd Suite D Milford OH 45150-3078
Phone: (513) 575-7878
Fax: (513) 965-0047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT06599 Ohio

Profile Details

NPI number 1558343814
LBN Legal business name Angeline, Jeffrey Alan
Credentials P.T., A.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Nov 21st, 2018 - about 7 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 1558343814 NPPES
Ohio Other 21493Z ANTHEM
Ohio MEDICAID 2455801 ANTHEM

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