Bennett, Angela Paige

Bennett, Angela Paige is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Bennett, Angela Paige can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 200001098 North Carolina
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 200001098 North Carolina

Profile Details

NPI number 1124002423
LBN Legal business name Bennett, Angela Paige
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jan 8th, 2014 - about 11 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 1124002423 NPPES
Virginia MEDICAID 10005299
Virginia Other 1339U
Virginia Other 7606737
Virginia Other C6266
Virginia MEDICAID 1841917000
Virginia MEDICAID 891339U
Virginia MEDICAID Q98000
Virginia Other 802876

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