Asom, Angela E
Asom, Angela E is an sole proprietor health care provider with primary practice located at 717 S Greenville Ave Ste 104, Allen TX 75002-3317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Asom, Angela E can be contacted via phone (972) 396-1900.Contact Information
Primary practice address
717 S Greenville Ave Ste 104
Allen TX 75002-3317
Phone: (972) 396-1900
Fax: (972) 396-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2023-1277 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA69683 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD058635L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L8604 | Texas |
Profile Details
| NPI number | 1497762629 |
|---|---|
| LBN Legal business name | Asom, Angela E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Dec 8th, 2023 - about last year |
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 | 1497762629 | NPPES |
| Pennsylvania | MEDICAID | 001632389 | |
| Pennsylvania | MEDICAID | 7291507 | |
| Pennsylvania | Other | L8604 |
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