Andom, Tedros
Andom, Tedros is an sole proprietor health care provider with primary practice located at 2253 Olympic St , Springfield OH 45503-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andom, Tedros can be contacted via phone (937) 717-4884.Contact Information
Primary practice address
2253 Olympic St
Springfield OH 45503-2736
Phone: (937) 717-4884
Fax: (937) 717-6207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35091693 | Ohio |
Profile Details
| NPI number | 1629160262 |
|---|---|
| LBN Legal business name | Andom, Tedros |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1629160262 | NPPES |
| Ohio | MEDICAID | 2850571 |
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