Elliott, Angela Dawn
Elliott, Angela Dawn is an sole proprietor health care provider with primary practice located at 1124 Field Ave , Canon City CO 81212-9252. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Elliott, Angela Dawn can be contacted via phone (719) 276-0991.Contact Information
Primary practice address
1124 Field Ave
Canon City CO 81212-9252
Phone: (719) 276-0991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1003108960 |
|---|---|
| LBN Legal business name | Elliott, Angela Dawn |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2011 |
| Last updated | Dec 28th, 2018 - about 8 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 | 1003108960 | NPPES |
| Colorado | MEDICAID | 67871879 |
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