Ianitelli, Angela K

Ianitelli, Angela K is an individual health care provider with primary practice located at 16151 19 Mile Rd Ste 215 , Clinton Township MI 48038-1157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ianitelli, Angela K can be contacted via phone (586) 263-2300.

Contact Information

Primary practice address
16151 19 Mile Rd Ste 215 Clinton Township MI 48038-1157
Phone: (586) 263-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004740 Michigan

Profile Details

NPI number 1457418154
LBN Legal business name Ianitelli, Angela K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 18th, 2023 - about 2 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 1457418154 NPPES
Michigan Other P00725248 RAILROAD MEDICARE
Michigan Other STATE LISC. RAILROAD MEDICARE

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