Squire, Angel Sue

Squire, Angel Sue is an sole proprietor health care provider with primary practice located at 5300 Scottsville Rd #50327, Bowling Green KY 42104. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Squire, Angel Sue can be contacted via phone (615) 813-0726.

Contact Information

Primary practice address
5300 Scottsville Rd #50327 Bowling Green KY 42104
Fax:
Website:

Profile Details

NPI number 1699309666
LBN Legal business name Squire, Angel Sue
Credentials APRN - PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2020
Last updated Mar 9th, 2021 - about 5 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 1699309666 NPPES
Kentucky MEDICAID 7100691750

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