Hayduke, Andrew J

Hayduke, Andrew J is an sole proprietor health care provider with primary practice located at 39000 Bob Hope Dr Kiewit Suite 206, Rancho Mirage CA 92270-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Hayduke, Andrew J can be contacted via phone (760) 341-6996.

Contact Information

Primary practice address
39000 Bob Hope Dr Kiewit Suite 206 Rancho Mirage CA 92270-3221
Phone: (760) 341-6996
Fax: (760) 341-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A70532 California

Profile Details

NPI number 1588666119
LBN Legal business name Hayduke, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Mar 19th, 2008 - about 17 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 1588666119 NPPES
California Other 00A705320 BLUE SHIELD PROVIDER #

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