Andino, Raul Rene

Andino, Raul Rene is an individual health care provider with primary practice located at 505 N Jackson St , Jackson MI 49201-1266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Andino, Raul Rene can be contacted via phone (517) 748-5500.

Contact Information

Primary practice address
505 N Jackson St Jackson MI 49201-1266
Phone: (517) 748-5500
Fax: (517) 780-9286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10941 Puerto Rico
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301085215 Michigan

Profile Details

NPI number 1033121652
LBN Legal business name Andino, Raul Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 24th, 2020 - about 4 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 1033121652 NPPES
Oklahoma MEDICAID 200018350A

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