Andrew, Philip

Andrew, Philip is an individual health care provider with primary practice located at 1730 1St Ave Ne , Cedar Rapids IA 52402-5433. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Andrew, Philip can be contacted via phone (319) 365-3993.

Contact Information

Primary practice address
1730 1St Ave Ne Cedar Rapids IA 52402-5433
Fax: (319) 364-0116
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00053 Iowa

Profile Details

NPI number 1104893114
LBN Legal business name Andrew, Philip
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104893114 NPPES
Iowa Other 54638 WELLMARK BC/BS

Popular Providers