Lane, Andrew
Lane, Andrew is an individual health care provider with primary practice located at 9443 E 38Th St , Indianapolis IN 46235-2132. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lane, Andrew can be contacted via phone (317) 890-2100.Contact Information
Primary practice address
9443 E 38Th St
Indianapolis IN 46235-2132
Phone: (317) 890-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010414A | Indiana |
Profile Details
| NPI number | 1669466736 |
|---|---|
| LBN Legal business name | Lane, Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Dec 30th, 2020 - about 5 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 | 1669466736 | NPPES |
| Indiana | MEDICAID | 200372230 |
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