Andelin, Clark Olavi

Andelin, Clark Olavi is an individual health care provider with primary practice located at 927 Broadway St , Quincy IL 62301-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Andelin, Clark Olavi can be contacted via phone (217) 223-8400.

Contact Information

Primary practice address
927 Broadway St Quincy IL 62301-2719
Fax: (217) 223-9172
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2007019019 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036148618 Illinois

Profile Details

NPI number 1013114453
LBN Legal business name Andelin, Clark Olavi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Nov 27th, 2023 - about last year

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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