Deangelo, William Carl

Deangelo, William Carl is an individual health care provider with primary practice located at 531 New Haven Ave , Milford CT 06460-8613. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Deangelo, William Carl can be contacted via phone (203) 878-7800.

Contact Information

Primary practice address
531 New Haven Ave Milford CT 06460-8613
Phone: (203) 878-7800
Fax: (203) 878-8849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 000912 Connecticut

Profile Details

NPI number 1851386577
LBN Legal business name Deangelo, William Carl
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Oct 31st, 2013 - about 12 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 1851386577 NPPES
Connecticut Other 050000912CT01 BLUE CROSS
Connecticut MEDICAID 004130879 BLUE CROSS

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