Andres, Edward H

Andres, Edward H is an individual health care provider with primary practice located at 802 N. Riverside Rd., Suite G 50, Saint Joseph MO 64507-2553. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Andres, Edward H can be contacted via phone (816) 671-4888.

Contact Information

Primary practice address
802 N. Riverside Rd., Suite G 50 Saint Joseph MO 64507-2553
Fax: (816) 671-4890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R4278 Missouri
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X R4278 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X R4278 Missouri

Profile Details

NPI number 1639102460
LBN Legal business name Andres, Edward H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 28th, 2011 - about 14 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 1639102460 NPPES
Missouri Other 10001262101 COMMUNITY HEALTH PLAN
Missouri MEDICAID 100130870B COMMUNITY HEALTH PLAN
Missouri Other P00193414 COMMUNITY HEALTH PLAN
Missouri MEDICAID 200374411 COMMUNITY HEALTH PLAN

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