Paul, Angela K
Paul, Angela K is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Paul, Angela K can be contacted via phone (313) 576-1000.Contact Information
Primary practice address
4646 John R St
Detroit MI 48201-1916
Phone: (313) 576-1000
Fax: (586) 576-1092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000040 | Michigan |
Profile Details
| NPI number | 1306934039 |
|---|---|
| LBN Legal business name | Paul, Angela K |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jun 13th, 2012 - about 14 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 | 1306934039 | NPPES |
| Michigan | Other | 0E01107 | BLUE SHIELD |
| Michigan | Other | 540E00292 | BLUE SHIELD |
| Michigan | Other | 640E07684 | BLUE SHIELD |
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