Colon, Angel

Colon, Angel is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Colon, Angel can be contacted via phone (508) 852-1805.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 853-8593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 58993 Massachusetts

Profile Details

NPI number 1922215839
LBN Legal business name Colon, Angel
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 9th, 2007 - about 19 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 1922215839 NPPES
Massachusetts MEDICAID 1301071

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