Klock, Angela M
Klock, Angela M is an individual health care provider with primary practice located at 35 Hope Drive Suites 202/204, Hershey PA 17033-2086. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Klock, Angela M can be contacted via phone (717) 531-3503.Contact Information
Primary practice address
35 Hope Drive Suites 202/204
Hershey PA 17033-2086
Phone: (717) 531-3503
Fax: (717) 531-4375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN507577L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | MW010391 | Pennsylvania |
Profile Details
| NPI number | 1609056092 |
|---|---|
| LBN Legal business name | Klock, Angela M |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Oct 12th, 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 | 1609056092 | NPPES |
| Pennsylvania | MEDICAID | 101814491 | |
| Pennsylvania | MEDICAID | 100746682 0006 |
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