Andry, James Matthew

Andry, James Matthew is an individual health care provider with primary practice located at 451 S Park Ridge Rd Suite 101, Bloomington IN 47401-8589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andry, James Matthew can be contacted via phone (812) 331-8282.

Contact Information

Primary practice address
451 S Park Ridge Rd Suite 101 Bloomington IN 47401-8589
Phone: (812) 331-8282
Fax: (812) 331-8283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01051736A Indiana

Profile Details

NPI number 1447255369
LBN Legal business name Andry, James Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 13th, 2013 - about 11 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 1447255369 NPPES
Indiana MEDICAID 200238830

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