Dewasme, Andrea Marie
Dewasme, Andrea Marie is an individual health care provider with primary practice located at 1526 Creek Dr , Morris IL 60450-6862. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dewasme, Andrea Marie can be contacted via phone (815) 416-1132.Contact Information
Primary practice address
1526 Creek Dr
Morris IL 60450-6862
Phone: (815) 416-1132
Fax: (815) 416-1135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-009326 | Illinois |
Profile Details
| NPI number | 1679586747 |
|---|---|
| LBN Legal business name | Dewasme, Andrea Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679586747 | NPPES |
| Illinois | Other | 3232011 | BLUE CROSS BLUE SHIELD |
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