Keith, Angela
Keith, Angela is an individual health care provider with primary practice located at 2580 Lin Do Ct , Sumter SC 29150-1832. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Keith, Angela can be contacted via phone (803) 905-4427.Contact Information
Primary practice address
2580 Lin Do Ct
Sumter SC 29150-1832
Phone: (803) 905-4427
Fax: (803) 905-4431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1811108368 |
|---|---|
| LBN Legal business name | Keith, Angela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 23rd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811108368 | NPPES |
| South Carolina | MEDICAID | EX6563 |
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