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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
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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