Koivuniemi, Andrew Sanford

Koivuniemi, Andrew Sanford is an individual health care provider with primary practice located at 3001 S Creasy Ln Ste 100A , Lafayette IN 47905-5206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Koivuniemi, Andrew Sanford can be contacted via phone (765) 701-6451.

Contact Information

Primary practice address
3001 S Creasy Ln Ste 100A Lafayette IN 47905-5206
Phone: (765) 701-6451
Fax: (765) 420-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01088594A Indiana

Profile Details

NPI number 1134500143
LBN Legal business name Koivuniemi, Andrew Sanford
Credentials M.D./PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134500143 NPPES
Indiana Other 11018180A PROFESSIONAL LICENSING AGENCY

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