Lake, Angel Anthony
Lake, Angel Anthony is an sole proprietor health care provider with primary practice located at 4007 Diamond Ruby , Christiansted VI 00820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lake, Angel Anthony can be contacted via phone (340) 778-6311.Contact Information
Primary practice address
4007 Diamond Ruby
Christiansted VI 00820
Phone: (340) 778-6311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1365 | Virgin Islands |
Profile Details
| NPI number | 1205978335 |
|---|---|
| LBN Legal business name | Lake, Angel Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Aug 26th, 2010 - about 16 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 | 1205978335 | NPPES |
| Virgin Islands | Other | 1365 | VI LIC NUMBER |
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