Provider Demographics
NPI:1871895888
Name:DEANGELIS, GUY G (ND, PHD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:G
Last Name:DEANGELIS
Suffix:
Gender:M
Credentials:ND, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 HIGH ST
Mailing Address - Street 2:SUITE 120B
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4017
Mailing Address - Country:US
Mailing Address - Phone:614-284-2626
Mailing Address - Fax:615-754-0220
Practice Address - Street 1:933 HIGH ST
Practice Address - Street 2:SUITE 120B
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4017
Practice Address - Country:US
Practice Address - Phone:614-284-2626
Practice Address - Fax:615-754-0220
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath