Cangelosi, Keith E
Cangelosi, Keith E is an individual health care provider with primary practice located at 604 W 13Th Ave , Covington LA 70433-3308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cangelosi, Keith E can be contacted via phone (985) 871-0070.Contact Information
Primary practice address
604 W 13Th Ave
Covington LA 70433-3308
Phone: (985) 871-0070
Fax: (985) 871-0046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 017231 | Louisiana |
Profile Details
| NPI number | 1609865732 |
|---|---|
| LBN Legal business name | Cangelosi, Keith E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | May 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609865732 | NPPES |
| Louisiana | MEDICAID | 1366048 | |
| Louisiana | Other | P00314748 |
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