Durr, Angela

Durr, Angela is an individual health care provider with primary practice located at 151 N Main St , Decatur IL 62523-1206. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Durr, Angela can be contacted via phone (217) 362-6262.

Contact Information

Primary practice address
151 N Main St Decatur IL 62523-1206
Fax: (217) 362-6290
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 41349404 Illinois

Profile Details

NPI number 1649796764
LBN Legal business name Durr, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Jul 21st, 2022 - 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 1649796764 NPPES
Illinois MEDICAID 1639231731

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