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
Phone: (410) 876-1633
Fax: (410) 840-2100
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306021076 | NPPES |
| Ohio | MEDICAID | 0065081 | |
| Ohio | MEDICAID | 3362132 00 |
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