Matherly, Angelina Kathleen

Matherly, Angelina Kathleen is an sole proprietor health care provider with primary practice located at 301 Andrews Avenue , Fort Rucker AL 36362. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Matherly, Angelina Kathleen can be contacted via phone (008) 261-7193.

Contact Information

Primary practice address
301 Andrews Avenue Fort Rucker AL 36362
Phone: (008) 261-7193
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2020-03801 North Carolina

Profile Details

NPI number 1467011668
LBN Legal business name Matherly, Angelina Kathleen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2019
Last updated Sep 8th, 2022 - about 3 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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