Wood, Angela Jo
Wood, Angela Jo is an individual health care provider with primary practice located at 11370 N State Road 67 , Mooresville IN 46158-6368. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wood, Angela Jo can be contacted via phone (317) 834-8187.Contact Information
Primary practice address
11370 N State Road 67
Mooresville IN 46158-6368
Phone: (317) 834-8187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34003617A | Indiana |
Profile Details
| NPI number | 1154307627 |
|---|---|
| LBN Legal business name | Wood, Angela Jo |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Apr 3rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154307627 | NPPES |
| Other | 000000360544 | ANTHEM |
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