Angelo, Tony Wayne

Angelo, Tony Wayne is an sole proprietor health care provider with primary practice located at 1025 S Mount Vernon Ave Suite A, Colton CA 92324-4226. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Angelo, Tony Wayne can be contacted via phone (909) 783-1473.

Contact Information

Primary practice address
1025 S Mount Vernon Ave Suite A Colton CA 92324-4226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1992997068
LBN Legal business name Angelo, Tony Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2007
Last updated Aug 13th, 2007 - about 17 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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