Talley, Angella Marie

Talley, Angella Marie is an individual health care provider with primary practice located at 2201 Concord Ave Nw Ste 100, Corydon IN 47112-2060. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Talley, Angella Marie can be contacted via phone (812) 738-1200.

Contact Information

Primary practice address
2201 Concord Ave Nw Ste 100 Corydon IN 47112-2060
Phone: (812) 738-1200
Fax: (812) 738-1710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01061972A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40534 Kentucky

Profile Details

NPI number 1891893376
LBN Legal business name Talley, Angella Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 30th, 2020 - about 6 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 1891893376 NPPES
Kentucky MEDICAID 7100206000
Kentucky MEDICAID 200847430

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