Angell, Jordan Elliot

Angell, Jordan Elliot is an individual health care provider with primary practice located at 410 Malcolm Dr Suite A, Westminster MD 21157-6160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Angell, Jordan Elliot can be contacted via phone (410) 876-1633.

Contact Information

Primary practice address
410 Malcolm Dr Suite A Westminster MD 21157-6160
Fax: (410) 840-2100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35098754 Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X D0075473 Maryland

Profile Details

NPI number 1306021076
LBN Legal business name Angell, Jordan Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Aug 22nd, 2013 - about 11 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 1306021076 NPPES
Ohio MEDICAID 0065081
Ohio MEDICAID 3362132 00

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