Annan, Edwin Laryea
Annan, Edwin Laryea is an individual health care provider with primary practice located at 500 Arcade Ave Ste 210 , Elkhart IN 46514-2485. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Annan, Edwin Laryea can be contacted via phone (574) 389-5656.Contact Information
Primary practice address
500 Arcade Ave Ste 210
Elkhart IN 46514-2485
Phone: (574) 389-5656
Fax: (574) 523-7891
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01071846A | Indiana |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01071846A | Indiana |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01071846A | Indiana |
Profile Details
NPI number | 1528245040 |
---|---|
LBN Legal business name | Annan, Edwin Laryea |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 28th, 2008 |
Last updated | Apr 28th, 2023 - about last year |
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 | 1528245040 | NPPES |
Indiana | MEDICAID | 201120700 |
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