Holbrook, Angela M
Holbrook, Angela M is an individual health care provider with primary practice located at 605 E Booneslick Rd , Warrenton MO 63383-2127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Holbrook, Angela M can be contacted via phone (636) 456-0188.Contact Information
Primary practice address
605 E Booneslick Rd
Warrenton MO 63383-2127
Phone: (636) 456-0188
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 103133 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 103133 | Missouri |
Profile Details
NPI number | 1790731545 |
---|---|
LBN Legal business name | Holbrook, Angela M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Jan 15th, 2009 - about 15 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 | 1790731545 | NPPES |
Missouri | MEDICAID | 1790731545 |
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