Andresen, John C.
Andresen, John C. is an individual health care provider with primary practice located at 18018 Burke Street , Elkhorn NE 68022-4417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Andresen, John C. can be contacted via phone (402) 573-7337.Contact Information
Primary practice address
18018 Burke Street
Elkhorn NE 68022-4417
Phone: (402) 573-7337
Fax: (402) 614-2314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22078 | Nebraska |
Profile Details
| NPI number | 1376635904 |
|---|---|
| LBN Legal business name | Andresen, John C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jun 2nd, 2016 - about 8 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 | 1376635904 | NPPES |
| Nebraska | Other | 239187 | MIDLANDS CHOICE |
| Nebraska | MEDICAID | 10025373200 | MIDLANDS CHOICE |
| Nebraska | Other | 994 | MIDLANDS CHOICE |
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