Green, Angela Nicole
Green, Angela Nicole is an sole proprietor health care provider with primary practice located at 2727 Baldwin Ave Ne , Canton OH 44705-4157. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Green, Angela Nicole can be contacted via phone (330) 880-1407.Contact Information
Primary practice address
2727 Baldwin Ave Ne
Canton OH 44705-4157
Phone: (330) 880-1407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1306181086 |
|---|---|
| LBN Legal business name | Green, Angela Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2012 |
| Last updated | Nov 16th, 2016 - about 10 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 | 1306181086 | NPPES |
| Ohio | MEDICAID | 0158496 |
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