Pauly, Angela Mary
Pauly, Angela Mary is an sole proprietor health care provider with primary practice located at 83 Airways Pl , Southaven MS 38671-5885. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pauly, Angela Mary can be contacted via phone (662) 349-8787.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OTR1109 | Arkansas |
| Other Service Providers / Specialist | 174400000X | 107497 | Texas |
| Other Service Providers / Specialist | 174400000X | OT2488 | Mississippi |
Profile Details
| NPI number | 1619093838 |
|---|---|
| LBN Legal business name | Pauly, Angela Mary |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Aug 13th, 2010 - about 14 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 | 1619093838 | NPPES |
| Arkansas | MEDICAID | 145182721 |
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