Angell, Casey Lynn
Angell, Casey Lynn is an sole proprietor health care provider with primary practice located at 5117 Sunmore Cir , Midland TX 79707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Angell, Casey Lynn can be contacted via phone (432) 689-2512.Contact Information
Primary practice address
5117 Sunmore Cir
Midland TX 79707
Phone: (432) 689-2512
Fax: (432) 689-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA04642 | Texas |
Profile Details
| NPI number | 1366454274 |
|---|---|
| LBN Legal business name | Angell, Casey Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Oct 31st, 2019 - about 6 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 | 1366454274 | NPPES |
| Texas | Other | PA04642 | PA LICENSE |
| Texas | Other | 8N9750 | PA LICENSE |
| Texas | MEDICAID | 110400202 | PA LICENSE |
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