Angell, Geoffrey Graeme
Angell, Geoffrey Graeme is an sole proprietor health care provider with primary practice located at 4164 Lonicera Loop , Saint Johns FL 32259-4531. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Angell, Geoffrey Graeme can be contacted via phone (904) 891-1179.Contact Information
Primary practice address
4164 Lonicera Loop
Saint Johns FL 32259-4531
Phone: (904) 891-1179
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 21700 | Florida |
Profile Details
| NPI number | 1457691065 |
|---|---|
| LBN Legal business name | Angell, Geoffrey Graeme |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2013 |
| Last updated | Jul 20th, 2014 - about 12 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 | 1457691065 | NPPES |
| Florida | MEDICAID | 010501100 |
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