Haddock, Andrew

Haddock, Andrew is an individual health care provider with primary practice located at 636 W Jefferson St , Morton IL 61550. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Haddock, Andrew can be contacted via phone (309) 263-8317.

Contact Information

Primary practice address
636 W Jefferson St Morton IL 61550
Phone: (309) 263-8317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019034015 Illinois
Dental Providers / Dentist 122300000X 1001807-15 Wisconsin

Profile Details

NPI number 1073005708
LBN Legal business name Haddock, Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2018
Last updated Feb 20th, 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.

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