Kelly, Angela Dawn
Kelly, Angela Dawn is an individual health care provider with primary practice located at 4329 Easton Ave , Bethlehem PA 18020-1431. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kelly, Angela Dawn can be contacted via phone (610) 868-6150.Contact Information
Primary practice address
4329 Easton Ave
Bethlehem PA 18020-1431
Phone: (610) 868-6150
Fax: (610) 868-6152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC-007774L | Pennsylvania |
Profile Details
| NPI number | 1205899358 |
|---|---|
| LBN Legal business name | Kelly, Angela Dawn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205899358 | NPPES |
| Pennsylvania | MEDICAID | 01973889 |
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