Baillie, Angel L

Baillie, Angel L is an individual health care provider with primary practice located at 111 S 11Th St , Philadelphia PA 19107-4870. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Baillie, Angel L can be contacted via phone (215) 857-5697.

Contact Information

Primary practice address
111 S 11Th St Philadelphia PA 19107-4870
Phone: (215) 857-5697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA063255 Pennsylvania

Profile Details

NPI number 1669059242
LBN Legal business name Baillie, Angel L
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2021
Last updated Jun 24th, 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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