Black, Angelique V
Black, Angelique V is an individual health care provider with primary practice located at 1850 Town Center Parkway Suite 400, Reston VA 20190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Black, Angelique V can be contacted via phone (703) 689-0300.Contact Information
Primary practice address
1850 Town Center Parkway Suite 400
Reston VA 20190
Phone: (703) 689-0300
Fax: (703) 787-9664
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002122 | Virginia |
Profile Details
NPI number | 1932127644 |
---|---|
LBN Legal business name | Black, Angelique V |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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