Guardia, Andrew K.

Guardia, Andrew K. is an individual health care provider with primary practice located at 1025 S 6Th St , Springfield IL 62703-2403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Guardia, Andrew K. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
1025 S 6Th St Springfield IL 62703-2403
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003035 Illinois

Profile Details

NPI number 1598950883
LBN Legal business name Guardia, Andrew K.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated May 22nd, 2020 - about 4 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 1598950883 NPPES
Illinois Other K45543 MEDICARE
Illinois Other P00431366 MEDICARE

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