Ancheta, Orlando Andrae

Ancheta, Orlando Andrae is an individual health care provider with primary practice located at 5673 Tucker Rd , Ooltewah TN 37363-8107. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ancheta, Orlando Andrae can be contacted via phone (423) 355-7110.

Contact Information

Primary practice address
5673 Tucker Rd Ooltewah TN 37363-8107
Phone: (423) 355-7110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 90836 Tennessee

Profile Details

NPI number 1992058697
LBN Legal business name Ancheta, Orlando Andrae
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Feb 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992058697 NPPES
Tennessee MEDICAID Q019392

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