Difelice, Angelo
Difelice, Angelo is an individual health care provider with primary practice located at 1285 Hembree Rd Ste 200A, Roswell GA 30076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Difelice, Angelo can be contacted via phone (770) 475-2710.Contact Information
Primary practice address
1285 Hembree Rd Ste 200A
Roswell GA 30076
Phone: (770) 475-2710
Fax: (770) 360-0498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 039324 | Georgia |
Profile Details
| NPI number | 1861492274 |
|---|---|
| LBN Legal business name | Difelice, Angelo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jun 22nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861492274 | NPPES |
| Georgia | MEDICAID | 442438630G | |
| Georgia | MEDICAID | 442438630C | |
| Georgia | MEDICAID | 442438630F | |
| Georgia | MEDICAID | 442438630D | |
| Georgia | MEDICAID | 442438630E |
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