Stork, Angela
Stork, Angela is an individual health care provider with primary practice located at 855 Illini Dr Ste 304 , Silvis IL 61282-2904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Stork, Angela can be contacted via phone (309) 281-2120.Contact Information
Primary practice address
855 Illini Dr Ste 304
Silvis IL 61282-2904
Phone: (309) 281-2120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R72675 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R9668 | Iowa |
Profile Details
| NPI number | 1386932192 |
|---|---|
| LBN Legal business name | Stork, Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2011 |
| Last updated | Jul 21st, 2022 - about 4 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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