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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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