Anderson, Andrea
Anderson, Andrea is an sole proprietor health care provider with primary practice located at 26777 Lorain Rd Ste 412 , North Olmsted OH 44070-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anderson, Andrea can be contacted via phone (330) 221-1155.Contact Information
Primary practice address
26777 Lorain Rd Ste 412
North Olmsted OH 44070-3224
Phone: (330) 221-1155
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C.2002687 | Ohio |
Profile Details
NPI number | 1265946040 |
---|---|
LBN Legal business name | Anderson, Andrea |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2017 |
Last updated | May 10th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265946040 | NPPES |
Ohio | MEDICAID | 1265946040 |
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