Phillips, Angel Renee
Phillips, Angel Renee is an sole proprietor health care provider with primary practice located at 147 W Main St , South Amherst OH 44001-2923. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Phillips, Angel Renee can be contacted via phone (440) 453-3645.Contact Information
Primary practice address
147 W Main St
South Amherst OH 44001-2923
Phone: (440) 453-3645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 377665650998 | Ohio |
Profile Details
| NPI number | 1548519994 |
|---|---|
| LBN Legal business name | Phillips, Angel Renee |
| Credentials | STNA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2012 |
| Last updated | Aug 31st, 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 | 1548519994 | NPPES |
| Ohio | MEDICAID | 0065333 |
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