Andrus, Doug Kenneth
Andrus, Doug Kenneth is an sole proprietor health care provider with primary practice located at 575 W Geiserman Rd , Piqua OH 45356-8507. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Andrus, Doug Kenneth can be contacted via phone (193) 754-1127.Contact Information
Primary practice address
575 W Geiserman Rd
Piqua OH 45356-8507
Phone: (193) 754-1127
Fax: (937) 778-0568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | Ohio |
Profile Details
| NPI number | 1942936422 |
|---|---|
| LBN Legal business name | Andrus, Doug Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942936422 | NPPES |
| Ohio | MEDICAID | 171WH0202X |
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