Johnson, Angela Millicent

Johnson, Angela Millicent is an sole proprietor health care provider with primary practice located at 159 Alabama Ave , Hempstead NY 11550. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Johnson, Angela Millicent can be contacted via phone (516) 414-1731.

Contact Information

Primary practice address
159 Alabama Ave Hempstead NY 11550
Phone: (516) 414-1731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2432971 New York

Profile Details

NPI number 1710165824
LBN Legal business name Johnson, Angela Millicent
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2008
Last updated Jan 31st, 2008 - about 16 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 1710165824 NPPES
New York MEDICAID 01774221

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