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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982653184 | NPPES |
Ohio | Other | 9181708 | DORAL |
Ohio | MEDICAID | 2630693 | DORAL |
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