Fangmeier, Angela Anne

Fangmeier, Angela Anne is an individual health care provider with primary practice located at 1101-2 N Progress Ave , Siloam Springs AR 72761-4343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fangmeier, Angela Anne can be contacted via phone (479) 549-4228.

Contact Information

Primary practice address
1101-2 N Progress Ave Siloam Springs AR 72761-4343
Phone: (479) 549-4228
Fax: (479) 549-3711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-2035 Arkansas

Profile Details

NPI number 1861475147
LBN Legal business name Fangmeier, Angela Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 17th, 2015 - about 9 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 1861475147 NPPES
Arkansas Other 5L060 BCBS ARKANSAS
Arkansas MEDICAID 136331001 BCBS ARKANSAS
Arkansas MEDICAID 100252240A BCBS ARKANSAS

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