Gum, Angela Marie

Gum, Angela Marie is an sole proprietor health care provider with primary practice located at 1520 Broadway St , Toledo OH 43609-2855. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gum, Angela Marie can be contacted via phone (419) 255-9000.

Contact Information

Primary practice address
1520 Broadway St Toledo OH 43609-2855
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-022262 Ohio
Dental Providers / General Practice 1223G0001X 051497 New York

Profile Details

NPI number 1982653184
LBN Legal business name Gum, Angela Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Dec 19th, 2012 - about 12 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 1982653184 NPPES
Ohio Other 9181708 DORAL
Ohio MEDICAID 2630693 DORAL

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