Shaw, Angela Jane

Shaw, Angela Jane is an individual health care provider with primary practice located at 119 Gas Plant Rd Rea Clinic Du Quin, Du Quoin IL 63832. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shaw, Angela Jane can be contacted via phone (618) 542-8702.

Contact Information

Primary practice address
119 Gas Plant Rd Rea Clinic Du Quin Du Quoin IL 63832
Phone: (618) 542-8702
Fax: (618) 542-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Illinois

Profile Details

NPI number 1558439471
LBN Legal business name Shaw, Angela Jane
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 17 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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