Redus-Mccoy, Angelique P

Redus-Mccoy, Angelique P is an individual health care provider with primary practice located at 1204 W Main St 6Th Floor, Charlottesville VA 22908-2824. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Redus-Mccoy, Angelique P can be contacted via phone (434) 924-5321.

Contact Information

Primary practice address
1204 W Main St 6Th Floor Charlottesville VA 22908-2824
Phone: (434) 924-5321
Fax: (434) 982-3816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35084829 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101259234 Virginia

Profile Details

NPI number 1225092604
LBN Legal business name Redus-Mccoy, Angelique P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jan 25th, 2017 - about 9 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 1225092604 NPPES
Ohio MEDICAID 2505917

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