Hendrickson, Angela

Hendrickson, Angela is an individual health care provider with primary practice located at 2323 Windish Dr , Galesburg IL 61401-9780. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Hendrickson, Angela can be contacted via phone (309) 343-2290.

Contact Information

Primary practice address
2323 Windish Dr Galesburg IL 61401-9780
Phone: (309) 343-2290
Fax: (309) 344-4368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 041-387426 Illinois

Profile Details

NPI number 1275837247
LBN Legal business name Hendrickson, Angela
Credentials RPN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2011
Last updated Jan 5th, 2011 - about 13 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 1275837247 NPPES
Illinois Other 370984175 BRIDGEWAY FEIN

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