Ellerman, Angela Beth
Ellerman, Angela Beth is an individual health care provider with primary practice located at 55 Carlton St , Athens GA 30602-1503. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ellerman, Angela Beth can be contacted via phone (706) 542-5617.Contact Information
Primary practice address
55 Carlton St
Athens GA 30602-1503
Phone: (706) 542-5617
Fax: (706) 227-4763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2022 | Georgia |
Profile Details
| NPI number | 1730168485 |
|---|---|
| LBN Legal business name | Ellerman, Angela Beth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Aug 11th, 2022 - about 4 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 | 1730168485 | NPPES |
| Georgia | MEDICAID | 465525028C |
Popular Providers
-
Penland, Robert Winburn
3654 Atlanta Hwy , Athens GA 30606-6979 -
Thomas, Stuart Jackson
1077 Baxter St , Athens GA 30606-3767 -
Harron, Andrea Weir
4375 Lexington Rd , Athens GA 30605-2525 -
Harron, Sean Patrick
1911 Epps Bridge Pkwy , Athens GA 30606-6130 -
Poole, Chad Edgar
850 Gaines School Rd , Athens GA 30605-3132 -
Atkinson, Gary Brian
55 Carlton Street Uga University Health Center, Athens GA 30602-1755 -
Forche, Nadine G
698 S Milledge Ave , Athens GA 30605-1251 -
Springer, Russell D.
270 Hawthorne Ave Ste A , Athens GA 30606-2881