Phelps, Angela Michelle

Phelps, Angela Michelle is an individual health care provider with primary practice located at 407 E Russell Ave Bldg C , Warrensburg MO 64093-1242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phelps, Angela Michelle can be contacted via phone (660) 747-5114.

Contact Information

Primary practice address
407 E Russell Ave Bldg C Warrensburg MO 64093-1242
Fax: (660) 747-5684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001014668 Missouri

Profile Details

NPI number 1881616282
LBN Legal business name Phelps, Angela Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 9th, 2007 - about 18 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 1881616282 NPPES
Missouri Other 7664602 AETNA
Missouri Other 11127872 AETNA

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