Callicutt, Angela Lee

Callicutt, Angela Lee is an individual health care provider with primary practice located at 10 Parker Ln Suite 1, Pinehurst NC 28374-7903. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Callicutt, Angela Lee can be contacted via phone (910) 295-3133.

Contact Information

Primary practice address
10 Parker Ln Suite 1 Pinehurst NC 28374-7903
Phone: (910) 295-3133
Fax: (910) 295-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 127266 North Carolina

Profile Details

NPI number 1922129154
LBN Legal business name Callicutt, Angela Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 23rd, 2009 - about 16 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 1922129154 NPPES
North Carolina MEDICAID 3403400

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