Antoine, Angela
Antoine, Angela is an individual health care provider with primary practice located at 6632 Indian River Rd Suite 103, Virginia Beach VA 23464-3442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Antoine, Angela can be contacted via phone (757) 424-4442.Contact Information
Primary practice address
6632 Indian River Rd Suite 103
Virginia Beach VA 23464-3442
Phone: (757) 424-4442
Fax: (757) 523-4765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0102037192 | Virginia |
Profile Details
| NPI number | 1134192479 |
|---|---|
| LBN Legal business name | Antoine, Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Apr 9th, 2010 - 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 | 1134192479 | NPPES |
| Virginia | MEDICAID | 010079586 | |
| Virginia | Other | PO0138251 | |
| Virginia | Other | 541595397 | |
| Virginia | Other | 541595397 | |
| Virginia | Other | 79396 | |
| Virginia | Other | 7688601 | |
| Virginia | Other | 541595397 | |
| Virginia | Other | 541595397 | |
| Virginia | Other | 143855 | |
| Virginia | Other | 541595397 |
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