D'Angelo, Marc S

D'Angelo, Marc S is an sole proprietor health care provider with primary practice located at 6632 River Rd , Wilmington NC 28412-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. D'Angelo, Marc S can be contacted via phone (843) 319-5979.

Contact Information

Primary practice address
6632 River Rd Wilmington NC 28412-3012
Fax: (910) 791-6799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 14157 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26317 Kentucky

Profile Details

NPI number 1962432716
LBN Legal business name D'Angelo, Marc S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jan 6th, 2017 - about 7 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 1962432716 NPPES
Kentucky MEDICAID 7100352770
Kentucky MEDICAID 0112511

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