ACE I ANGLIN, DPM, Podiatrist MONTGOMERY, AL

Contact Information

ACE I ANGLIN, DPM

1620 MULBERRY STREET
MONTGOMERY, AL 36106

Phone: 334-239-7335
Fax: 334-239-7118
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ACE I ANGLIN · (Male)

NPI Number	`1639165434`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	09/27/2005
Last updated	03/06/2015 - About 11 years ago
Sole proprietor ¹	No
Identifiers	AL License # 183 AL Medicaid 000029813 AL Medicaid 000029826 AL Medicaid 000076495 AL Medicaid 8900101021 AL Other 51014507 BCBS AL Other 51029813 BCBS AL Other 51029826 BCBS AL Other 51076495 BCBS AL Other 480033398 RAILROAD MEDICARE
Hospital affiliation(s)	JACKSON HOSPITAL & CLINIC INC - (Acute Care) 1725 PINE STREET MONTGOMERY, AL 36106

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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