Powell, Angela J

Powell, Angela J is an individual health care provider with primary practice located at 4920 Broadmoor Bluffs Dr , Colorado Springs CO 80906-8204. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Powell, Angela J can be contacted via phone (719) 434-8737.

Contact Information

Primary practice address
4920 Broadmoor Bluffs Dr Colorado Springs CO 80906-8204
Phone: (719) 434-8737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT06553 Texas

Profile Details

NPI number 1346432036
LBN Legal business name Powell, Angela J
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Jun 30th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346432036 NPPES
Texas Other DT06553 LICENSURE

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