Elliott, Angela

Elliott, Angela is an sole proprietor health care provider with primary practice located at 1518 Mulberry Ave , Muscatine IA 52761-3433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elliott, Angela can be contacted via phone (563) 264-9508.

Contact Information

Primary practice address
1518 Mulberry Ave Muscatine IA 52761-3433
Fax: (563) 264-0166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO-04528 Iowa

Profile Details

NPI number 1629490123
LBN Legal business name Elliott, Angela
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2014
Last updated Jan 21st, 2014 - about 11 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 1629490123 NPPES
Iowa MEDICAID 1982831426

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