Andrews, Azonda E

Andrews, Azonda E is an individual health care provider with primary practice located at 10026 E 21St St Ofc 318 , Indianapolis IN 46229-1802. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Andrews, Azonda E can be contacted via phone (317) 525-3597.

Contact Information

Primary practice address
10026 E 21St St Ofc 318 Indianapolis IN 46229-1802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1275584559
LBN Legal business name Andrews, Azonda E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 28th, 2014 - about 10 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 1275584559 NPPES
Indiana MEDICAID 100270530A

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