Long Prentice, Angela
Long Prentice, Angela is an individual health care provider with primary practice located at 9000 N Main St Ste 202, Englewood OH 45415-1165. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Long Prentice, Angela can be contacted via phone (937) 832-9700.Contact Information
Primary practice address
9000 N Main St Ste 202
Englewood OH 45415-1165
Phone: (937) 832-9700
Fax: (937) 832-8663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.063987 | Ohio |
Profile Details
| NPI number | 1770523185 |
|---|---|
| LBN Legal business name | Long Prentice, Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 3rd, 2017 - about 9 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 | 1770523185 | NPPES |
| Ohio | MEDICAID | 0984403 |
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