Deangelis, Richard John

Deangelis, Richard John is an individual health care provider with primary practice located at 1409 N Fant St , Anderson SC 29621-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Deangelis, Richard John can be contacted via phone (864) 231-8599.

Contact Information

Primary practice address
1409 N Fant St Anderson SC 29621-4825
Phone: (864) 231-8599
Fax: (864) 231-8073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 15293 South Carolina

Profile Details

NPI number 1427059997
LBN Legal business name Deangelis, Richard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 19 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 1427059997 NPPES
South Carolina MEDICAID TL2726

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