Andres, Primo A

Andres, Primo A is an individual health care provider with primary practice located at 455 E Hospital Ln , Terre Haute IN 47802-4245. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Andres, Primo A can be contacted via phone (812) 238-1521.

Contact Information

Primary practice address
455 E Hospital Ln Terre Haute IN 47802-4245
Fax: (812) 232-0341
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01029981A Indiana

Profile Details

NPI number 1538132808
LBN Legal business name Andres, Primo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Sep 18th, 2008 - about 17 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 1538132808 NPPES
Indiana MEDICAID 100326550A

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