Andrus, David E

Andrus, David E is an individual health care provider with primary practice located at 86 Mdg, Unit 3215 Ramstein Ab, Apo AE 09094. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Andrus, David E can be contacted via phone (314) 479-2609.

Contact Information

Primary practice address
86 Mdg, Unit 3215 Ramstein Ab Apo AE 09094
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 42291-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42291 Wisconsin

Profile Details

NPI number 1588770051
LBN Legal business name Andrus, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 11th, 2022 - about 2 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 1588770051 NPPES
Wisconsin MEDICAID 34651600
Wisconsin Other 390806395
Wisconsin Other 390806395008
Wisconsin Other 390806395

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