Davis, Angela M.

Davis, Angela M. is an sole proprietor health care provider with primary practice located at 216 S 12Th St , Cambridge OH 43725-2417. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Davis, Angela M. can be contacted via phone (740) 584-5821.

Contact Information

Primary practice address
216 S 12Th St Cambridge OH 43725-2417
Phone: (740) 584-5821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 2487063 Ohio

Profile Details

NPI number 1063574630
LBN Legal business name Davis, Angela M.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 26th, 2011 - about 15 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 1063574630 NPPES
Ohio MEDICAID 303020591201

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