Anggelis, Connie
Anggelis, Connie is an individual health care provider with primary practice located at 3950 Kresge Way Ste 303 , Louisville KY 40207-4637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Anggelis, Connie can be contacted via phone (502) 928-0900.Contact Information
Primary practice address
3950 Kresge Way Ste 303
Louisville KY 40207-4637
Phone: (502) 928-0900
Fax: (502) 928-0901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 27227 | Kentucky |
Profile Details
| NPI number | 1699775007 |
|---|---|
| LBN Legal business name | Anggelis, Connie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Dec 9th, 2020 - about 4 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 | 1699775007 | NPPES |
| Kentucky | MEDICAID | 64272271 |
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