Andersen, Tommi

Andersen, Tommi is an individual health care provider with primary practice located at 500 Arcade Ave Ste 230 , Elkhart IN 46514-2485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andersen, Tommi can be contacted via phone (574) 522-6565.

Contact Information

Primary practice address
500 Arcade Ave Ste 230 Elkhart IN 46514-2485
Phone: (574) 522-6565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10004195A Indiana

Profile Details

NPI number 1407534712
LBN Legal business name Andersen, Tommi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2023
Last updated Dec 20th, 2023 - about 3 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 1407534712 NPPES
Indiana MEDICAID 300084536

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