Dangle, Michelle Marie

Dangle, Michelle Marie is an sole proprietor health care provider with primary practice located at 471 Hepburn St , Williamsport PA 17701-6122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dangle, Michelle Marie can be contacted via phone (570) 567-5400.

Contact Information

Primary practice address
471 Hepburn St Williamsport PA 17701-6122
Phone: (570) 567-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F344098 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010208 Pennsylvania

Profile Details

NPI number 1053567990
LBN Legal business name Dangle, Michelle Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2008
Last updated Apr 6th, 2021 - about 5 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 1053567990 NPPES
Pennsylvania MEDICAID 103001701
Pennsylvania Other 718966

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