Angle, Beth
Angle, Beth is an individual health care provider with primary practice located at 904 E. Martin Luther King Drive , Centralia IL 62801-3058. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Angle, Beth can be contacted via phone (618) 533-1391.Contact Information
Primary practice address
904 E. Martin Luther King Drive
Centralia IL 62801-3058
Phone: (618) 533-1391
Fax: (618) 533-0012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 043123661 | Illinois |
Profile Details
| NPI number | 1639683824 |
|---|---|
| LBN Legal business name | Angle, Beth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2017 |
| Last updated | Nov 27th, 2017 - about 7 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 | 1639683824 | NPPES |
| Illinois | MEDICAID | 370915481007 |
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