Andress, Timothy

Andress, Timothy is an individual health care provider with primary practice located at 500 Campus Dr , Hancock MI 49930-1569. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andress, Timothy can be contacted via phone (906) 483-1356.

Contact Information

Primary practice address
500 Campus Dr Hancock MI 49930-1569
Phone: (906) 483-1356
Fax: (906) 483-1320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 036298 Michigan

Profile Details

NPI number 1528181146
LBN Legal business name Andress, Timothy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Dec 7th, 2009 - about 16 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 1528181146 NPPES
Michigan Other 0C16002 MEDICARE GROUP
Michigan Other 430041684 MEDICARE GROUP
Michigan Other 0829560001 MEDICARE GROUP
Michigan MEDICAID 101616429 MEDICARE GROUP
Michigan Other TA036298 MEDICARE GROUP

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