Andes, Elizabeth A
Andes, Elizabeth A is an individual health care provider with primary practice located at 17221 E 23Rd St S Suite 100, Independence MO 64057-1803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Andes, Elizabeth A can be contacted via phone (816) 350-0005.Contact Information
Primary practice address
17221 E 23Rd St S Suite 100
Independence MO 64057-1803
Phone: (816) 350-0005
Fax: (816) 350-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD R7B15 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-23500 | Kansas |
Profile Details
| NPI number | 1407841554 |
|---|---|
| LBN Legal business name | Andes, Elizabeth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Aug 14th, 2007 - about 18 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 | 1407841554 | NPPES |
| Kansas | MEDICAID | 100453390B | |
| Kansas | MEDICAID | 201584828 | |
| Kansas | MEDICAID | 201584836 |
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