Individual
MR. RICK ANGLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
901 SAINT MARYS DR, SUITE 300, EVANSVILLE, IN 47714-0520
(812) 473-2642
(812) 474-4458
Mailing address
901 SAINT MARYS DR, SUITE 300, EVANSVILLE, IN 47714-0520
(812) 473-2642
(812) 474-4458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000154A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669780029
GROUP NPI
IN
01
—
273474697
TAX ID
IN
Enumeration date
02/18/2011
Last updated
02/18/2011
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