Angotti, Lori Michele
Angotti, Lori Michele is an sole proprietor health care provider with primary practice located at 120 Medical Park Dr Suite 104, Bridgeport WV 26330-9012. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Angotti, Lori Michele can be contacted via phone (304) 842-4000.Contact Information
Primary practice address
120 Medical Park Dr Suite 104
Bridgeport WV 26330-9012
Phone: (304) 842-4000
Fax: (304) 842-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 990-OD | West Virginia |
Profile Details
| NPI number | 1962520387 |
|---|---|
| LBN Legal business name | Angotti, Lori Michele |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Sep 16th, 2014 - about 10 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 | 1962520387 | NPPES |
| West Virginia | MEDICAID | 3102007000 |
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