D'Angelo, Michael J

D'Angelo, Michael J is an individual health care provider with primary practice located at 1000 Ainsworth Dr Suite 115, Prescott AZ 86305-1667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. D'Angelo, Michael J can be contacted via phone (928) 778-1971.

Contact Information

Primary practice address
1000 Ainsworth Dr Suite 115 Prescott AZ 86305-1667
Phone: (928) 778-1971
Fax: (928) 443-8473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K1996 Texas
Other Service Providers / Specialist 174400000X 29192 Arizona

Profile Details

NPI number 1669468526
LBN Legal business name D'Angelo, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Mar 16th, 2023 - about 2 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 1669468526 NPPES
Arizona MEDICAID 584682

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