Andresen, Andrew A

Andresen, Andrew A is an individual health care provider with primary practice located at 1345 W Central Park Ave , Davenport IA 52804-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andresen, Andrew A can be contacted via phone (563) 421-4400.

Contact Information

Primary practice address
1345 W Central Park Ave Davenport IA 52804-1844
Fax: (563) 421-4449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27707 Iowa

Profile Details

NPI number 1396740361
LBN Legal business name Andresen, Andrew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 26th, 2021 - 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 1396740361 NPPES
Other 19784 IOWA HEALTH SOLUTIONS
Other 41543 IOWA HEALTH SOLUTIONS
Other 077619 IOWA HEALTH SOLUTIONS
MEDICAID 1058180 IOWA HEALTH SOLUTIONS
Other 4796890001 IOWA HEALTH SOLUTIONS
Other IA0164 IOWA HEALTH SOLUTIONS

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