Angstadt, John David
Angstadt, John David is an individual health care provider with primary practice located at 4750 Waters Ave Suite 103, Savannah GA 31404-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Angstadt, John David can be contacted via phone (912) 350-8712.Contact Information
Primary practice address
4750 Waters Ave Suite 103
Savannah GA 31404-6200
Phone: (912) 350-8712
Fax: (912) 350-8753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 23552 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 050701 | Georgia |
Profile Details
| NPI number | 1871535849 |
|---|---|
| LBN Legal business name | Angstadt, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 13th, 2009 - about 15 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 | 1871535849 | NPPES |
| South Carolina | MEDICAID | G50701 | |
| South Carolina | MEDICAID | 000932005A | |
| South Carolina | Other | 10063394 | |
| South Carolina | Other | 349709 | |
| South Carolina | Other | 020051364 |
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