Angotti, John David

Angotti, John David is an individual health care provider with primary practice located at 16 Sterling Dr Suite 202, Bridgeport WV 26330-9132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Angotti, John David can be contacted via phone (304) 622-0294.

Contact Information

Primary practice address
16 Sterling Dr Suite 202 Bridgeport WV 26330-9132
Fax: (304) 622-0295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15717 West Virginia

Profile Details

NPI number 1518063130
LBN Legal business name Angotti, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 15th, 2016 - about 10 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 1518063130 NPPES
West Virginia Other CJ7607 RAILROAD MEDICARE
West Virginia MEDICAID 0072131000 RAILROAD MEDICARE
West Virginia Other 760000169 RAILROAD MEDICARE

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