Deangelis, Nicholas William

Deangelis, Nicholas William is an individual health care provider with primary practice located at Laura Liberman Md Pa 1130 Baltimore Boulevard Suite B, Westminster MD 21157. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Deangelis, Nicholas William can be contacted via phone (410) 876-9680.

Contact Information

Primary practice address
Laura Liberman Md Pa 1130 Baltimore Boulevard Suite B Westminster MD 21157
Phone: (410) 876-9680
Fax: (410) 386-0876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0082683 Maryland

Profile Details

NPI number 1295112977
LBN Legal business name Deangelis, Nicholas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Mar 14th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295112977 NPPES
Maryland MEDICAID 225ILIDD

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