Andersen, John Martin

Andersen, John Martin is an sole proprietor health care provider with primary practice located at 933 N Charlotte Street 3-A, Potts PA 19464-3974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andersen, John Martin can be contacted via phone (610) 323-9052.

Contact Information

Primary practice address
933 N Charlotte Street 3-A Potts PA 19464-3974
Phone: (610) 323-9052
Fax: (610) 323-3085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 039149E Pennsylvania

Profile Details

NPI number 1891801981
LBN Legal business name Andersen, John Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Oct 17th, 2011 - about 14 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 1891801981 NPPES
Pennsylvania Other 018149 AETNA HMO
Pennsylvania Other 000506727 AETNA HMO
Pennsylvania Other 000506727 AETNA HMO
Pennsylvania Other 232925465 AETNA HMO
Pennsylvania Other 000506727 AETNA HMO
Pennsylvania Other 232925465 AETNA HMO
Pennsylvania Other 000506727 AETNA HMO
Pennsylvania MEDICAID 0011067390001 AETNA HMO
Pennsylvania Other 0109636001 AETNA HMO
Pennsylvania Other 1025953 AETNA HMO
Pennsylvania Other 232925465 AETNA HMO

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