Ebert, Angela Fanella

Ebert, Angela Fanella is an individual health care provider with primary practice located at 3200 Northline Ave Ste 160, Greensboro NC 27408-7616. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ebert, Angela Fanella can be contacted via phone (336) 545-5000.

Contact Information

Primary practice address
3200 Northline Ave Ste 160 Greensboro NC 27408-7616
Phone: (336) 545-5000
Fax: (336) 545-5020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9714 North Carolina

Profile Details

NPI number 1619930740
LBN Legal business name Ebert, Angela Fanella
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Sep 9th, 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 1619930740 NPPES
North Carolina Other 079UA BCBS
North Carolina MEDICAID 7212246 BCBS
North Carolina Other P00401782 BCBS
North Carolina Other 250087A BCBS
North Carolina Other 198206 BCBS

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