Kanner, Andres M
Kanner, Andres M is an individual health care provider with primary practice located at 1475 Nw 12Th Ave , Miami FL 33136-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kanner, Andres M can be contacted via phone (305) 243-7520.Contact Information
Primary practice address
1475 Nw 12Th Ave
Miami FL 33136-1002
Phone: (305) 243-7520
Fax: (305) 243-4678
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036082679 | Illinois |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME114160 | Florida |
Profile Details
NPI number | 1619963246 |
---|---|
LBN Legal business name | Kanner, Andres M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Mar 7th, 2023 - about 2 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 | 1619963246 | NPPES |
Illinois | Other | 336044952 | IL DEPT OF PROF REG |
Illinois | MEDICAID | 036082679 | IL DEPT OF PROF REG |
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