Patteson, Angela Michelle

Patteson, Angela Michelle is an individual health care provider with primary practice located at 302 Sunset Dr Suite 109, Johnson City TN 37604-2408. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Patteson, Angela Michelle can be contacted via phone (423) 282-1742.

Contact Information

Primary practice address
302 Sunset Dr Suite 109 Johnson City TN 37604-2408
Phone: (423) 282-1742
Fax: (423) 283-4924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2796 Tennessee

Profile Details

NPI number 1437112984
LBN Legal business name Patteson, Angela Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 17th, 2014 - about 11 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 1437112984 NPPES
Tennessee MEDICAID 1521262

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