Angelo, Michael Alon

Angelo, Michael Alon is an individual health care provider with primary practice located at 1000 Chinaberry Dr Ste 800 , Bossier City LA 71111-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Angelo, Michael Alon can be contacted via phone (318) 392-3372.

Contact Information

Primary practice address
1000 Chinaberry Dr Ste 800 Bossier City LA 71111-2455
Fax: (318) 392-3373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025219 Louisiana

Profile Details

NPI number 1295723955
LBN Legal business name Angelo, Michael Alon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Apr 17th, 2024 - about 2 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 1295723955 NPPES
Louisiana MEDICAID 1486434

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