Phillips, Angel Renee

Phillips, Angel Renee is an sole proprietor health care provider with primary practice located at 147 W Main St , South Amherst OH 44001-2923. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Phillips, Angel Renee can be contacted via phone (440) 453-3645.

Contact Information

Primary practice address
147 W Main St South Amherst OH 44001-2923
Phone: (440) 453-3645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 377665650998 Ohio

Profile Details

NPI number 1548519994
LBN Legal business name Phillips, Angel Renee
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2012
Last updated Aug 31st, 2012 - about 12 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 1548519994 NPPES
Ohio MEDICAID 0065333

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