Andres, Ljudevit

Andres, Ljudevit is an individual health care provider with primary practice located at 811 Ainsworth Dr Suite 103, Prescott AZ 86301-1687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Andres, Ljudevit can be contacted via phone (928) 771-5548.

Contact Information

Primary practice address
811 Ainsworth Dr Suite 103 Prescott AZ 86301-1687
Fax: (928) 771-5549
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 32009 Arizona

Profile Details

NPI number 1174508998
LBN Legal business name Andres, Ljudevit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jun 4th, 2014 - about 11 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 1174508998 NPPES
Arizona MEDICAID 834722

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