Ervin, Angela Dawn

Ervin, Angela Dawn is an individual health care provider with primary practice located at 2530 Professional Pkwy , Santa Maria CA 93455-1602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ervin, Angela Dawn can be contacted via phone (805) 928-4465.

Contact Information

Primary practice address
2530 Professional Pkwy Santa Maria CA 93455-1602
Phone: (805) 928-4465
Fax: (805) 928-7935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT5937 California

Profile Details

NPI number 1477610111
LBN Legal business name Ervin, Angela Dawn
Credentials OTRE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1477610111 NPPES
California Other OT0059370 BLUE SHIELD
California MEDICAID CT0059370 BLUE SHIELD

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