Smith, Angela K

Smith, Angela K is an individual health care provider with primary practice located at 6613 N Meridian Ave , Oklahoma City OK 73116-1423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Angela K can be contacted via phone (405) 603-8450.

Contact Information

Primary practice address
6613 N Meridian Ave Oklahoma City OK 73116-1423
Phone: (405) 603-8450
Fax: (405) 603-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1106 Oklahoma

Profile Details

NPI number 1780689943
LBN Legal business name Smith, Angela K
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Feb 4th, 2011 - about 13 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 1780689943 NPPES
Oklahoma MEDICAID 200042650A

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