Provider Demographics
NPI:1982797874
Name:BRINKMAN, ANGELA (DO)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:BRINKMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 714328
Mailing Address - Street 2:ATTN: KATINA SPYRIDAKIS
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-4328
Mailing Address - Country:US
Mailing Address - Phone:440-833-2095
Mailing Address - Fax:440-833-2096
Practice Address - Street 1:29804 LAKESHORE BLVD.
Practice Address - Street 2:LHPG WILLOWICK PRIMARY CARE
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095
Practice Address - Country:US
Practice Address - Phone:440-833-2095
Practice Address - Fax:440-833-2096
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34005066B207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F34409Medicare UPIN