Andenoro, John D

Andenoro, John D is an individual health care provider with primary practice located at 350 Heritage Way Ste 2300 , Kalispell MT 59901-3167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Andenoro, John D can be contacted via phone (406) 752-8456.

Contact Information

Primary practice address
350 Heritage Way Ste 2300 Kalispell MT 59901-3167
Fax: (406) 752-1443
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9848 Montana

Profile Details

NPI number 1518058551
LBN Legal business name Andenoro, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1518058551 NPPES
Montana MEDICAID 0038488

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