Sullivan, Angela Hager

Sullivan, Angela Hager is an individual health care provider with primary practice located at 9 Courthouse Dr , Winfield WV 25213-9347. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Sullivan, Angela Hager can be contacted via phone (304) 586-0500.

Contact Information

Primary practice address
9 Courthouse Dr Winfield WV 25213-9347
Phone: (304) 586-0500
Fax: (304) 586-0553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 8223 Wyoming

Profile Details

NPI number 1609044536
LBN Legal business name Sullivan, Angela Hager
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2008
Last updated Feb 13th, 2008 - about 18 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 1609044536 NPPES
West Virginia MEDICAID 9202236000

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