Jarvis, Angela Louise
Jarvis, Angela Louise is an individual health care provider with primary practice located at 3346 Professional Park Dr , Owensboro KY 42303-4551. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jarvis, Angela Louise can be contacted via phone (270) 685-1066.Contact Information
Primary practice address
3346 Professional Park Dr
Owensboro KY 42303-4551
Phone: (270) 685-1066
Fax: (270) 685-0881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17933 | Kentucky |
Profile Details
| NPI number | 1962409177 |
|---|---|
| LBN Legal business name | Jarvis, Angela Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 24th, 2021 - about 3 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 | 1962409177 | NPPES |
| Kentucky | MEDICAID | 64179336 |
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