Andrew Mandery Md Plastic Surgery Llc

LBN: Andrew Mandery Md Plastic Surgery Llc
Andrew Mandery Md Plastic Surgery Llc is an health care organization with primary practice located at 1948 W Boulevard , Kokomo IN 46902-6078. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Andrew Mandery Md Plastic Surgery Llc can be contacted via phone (765) 236-1290, or through Mandery, Andrew J. via phone (765) 236-1290.

Contact Information

Primary practice address
1948 W Boulevard Kokomo IN 46902-6078
Phone: (765) 236-1290
Fax: (765) 236-0420
Website:
Map and Directions
Authorized official contact:
Name: Mandery, Andrew J. Doctor of Medicine (MD)
Phone: (765) 236-1290

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01045232 Indiana

Profile Details

NPI number 1629399266
LBN Legal business name Andrew Mandery Md Plastic Surgery Llc
DBA Doing business as
Authorized official Mandery, Andrew J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2010
Last updated Jul 2nd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629399266 NPPES
Indiana MEDICAID 200101450B

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