Provider Demographics
NPI:1982658647
Name:ENGLISH, ANGELA FRANCES (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:FRANCES
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:FRANCES
Other - Last Name:CICHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19395 W CAPITOL DR
Mailing Address - Street 2:SUITE L05
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-2736
Mailing Address - Country:US
Mailing Address - Phone:262-343-3512
Mailing Address - Fax:
Practice Address - Street 1:19395 W CAPITOL DR
Practice Address - Street 2:SUITE L05
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-2736
Practice Address - Country:US
Practice Address - Phone:262-343-3512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4193-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3897400Medicaid
WI3897400Medicaid