Weidner, Angela

Weidner, Angela is an individual health care provider with primary practice located at 109 E Maple St , Gillespie IL 62033-1473. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Weidner, Angela can be contacted via phone (217) 839-4190.

Contact Information

Primary practice address
109 E Maple St Gillespie IL 62033-1473
Phone: (217) 839-4190
Fax: (217) 839-1538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 041.389054 Illinois

Profile Details

NPI number 1093190324
LBN Legal business name Weidner, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2015
Last updated Jul 28th, 2015 - 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 1093190324 NPPES
Illinois MEDICAID 376001351007

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