Jeffries, Angela Michelle

Jeffries, Angela Michelle is an individual health care provider with primary practice located at 411 E Chestnut St # 5B , Louisville KY 40202-1713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Jeffries, Angela Michelle can be contacted via phone (502) 588-2330.

Contact Information

Primary practice address
411 E Chestnut St # 5B Louisville KY 40202-1713
Phone: (502) 588-2330
Fax: (502) 588-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 39805 Kentucky

Profile Details

NPI number 1528106630
LBN Legal business name Jeffries, Angela Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jan 24th, 2024 - 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 1528106630 NPPES
Kentucky MEDICAID 7100063520
Kentucky MEDICAID 200957710

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