Angelone, Edgar O.
Angelone, Edgar O. is an sole proprietor health care provider with primary practice located at 2154 4Th St , San Rafael CA 94901-2650. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Angelone, Edgar O. can be contacted via phone (415) 457-3451.Contact Information
Primary practice address
2154 4Th St
San Rafael CA 94901-2650
Phone: (415) 457-3451
Fax: (415) 457-3819
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY13957 | California |
Profile Details
NPI number | 1407919988 |
---|---|
LBN Legal business name | Angelone, Edgar O. |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 18th, 2006 |
Last updated | Jul 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407919988 | NPPES |
California | Other | PSY13957 | LICENSE NUMBER |
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