Ellis, Angela Gail
Ellis, Angela Gail is an individual health care provider with primary practice located at 120 Conner Dr Suite 201, Chapel Hill NC 27514-7092. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ellis, Angela Gail can be contacted via phone (919) 960-0155.Contact Information
Primary practice address
120 Conner Dr Suite 201
Chapel Hill NC 27514-7092
Phone: (919) 960-0155
Fax: (919) 960-0551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7061 | North Carolina |
Profile Details
| NPI number | 1629064415 |
|---|---|
| LBN Legal business name | Ellis, Angela Gail |
| Credentials | D.D.S, P.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1629064415 | NPPES |
| North Carolina | MEDICAID | 5901565 |
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