Egbosimbah, Angilia

Egbosimbah, Angilia is an sole proprietor health care provider with primary practice located at 1916 N Leg Rd , Augusta GA 30909-4402. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Egbosimbah, Angilia can be contacted via phone (706) 667-4279.

Contact Information

Primary practice address
1916 N Leg Rd Augusta GA 30909-4402
Phone: (706) 667-4279
Fax: (706) 667-4278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750700035
LBN Legal business name Egbosimbah, Angilia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Apr 16th, 2014 - about 10 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 1750700035 NPPES
Georgia MEDICAID 000612356

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