Andary, John L

Andary, John L is an sole proprietor health care provider with primary practice located at 2035 E 17Th St , Idaho Falls ID 83404-6430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Andary, John L can be contacted via phone (208) 524-5633.

Contact Information

Primary practice address
2035 E 17Th St Idaho Falls ID 83404-6430
Phone: (208) 524-5633
Fax: (208) 524-1045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-8490 Idaho

Profile Details

NPI number 1629060280
LBN Legal business name Andary, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Sep 11th, 2014 - about 10 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 1629060280 NPPES
Idaho MEDICAID 806411300
Idaho Other 50476
Idaho Other 00001013974

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