Johansson, Angela

Johansson, Angela is an individual health care provider with primary practice located at 15351 W Bell Rd , Surprise AZ 85374-4580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johansson, Angela can be contacted via phone (877) 809-5092.

Contact Information

Primary practice address
15351 W Bell Rd Surprise AZ 85374-4580
Fax: (623) 214-5231
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4233 Arizona

Profile Details

NPI number 1295739985
LBN Legal business name Johansson, Angela
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 3rd, 2012 - about 12 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 1295739985 NPPES
Arizona Other 4233 STATE LICENSE

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