Angelo, John Edward

Angelo, John Edward is an sole proprietor health care provider with primary practice located at 1970 N Highway 190 , Covington LA 70433-5364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Angelo, John Edward can be contacted via phone (985) 705-9020.

Contact Information

Primary practice address
1970 N Highway 190 Covington LA 70433-5364
Fax: (844) 272-9196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 014342 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 014342 Louisiana

Profile Details

NPI number 1538143599
LBN Legal business name Angelo, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Feb 20th, 2023 - about 2 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 1538143599 NPPES
Louisiana MEDICAID 1314650

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