Loder, Andrea Slifer

Loder, Andrea Slifer is an individual health care provider with primary practice located at 965 S Bailey Ave Ste 2-4 , South Haven MI 49090-6743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Loder, Andrea Slifer can be contacted via phone (269) 639-2777.

Contact Information

Primary practice address
965 S Bailey Ave Ste 2-4 South Haven MI 49090-6743
Phone: (269) 639-2777
Fax: (269) 639-2776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME70335 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301116417 Michigan

Profile Details

NPI number 1861477903
LBN Legal business name Loder, Andrea Slifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861477903 NPPES
Florida MEDICAID 379588800
Florida Other 28977

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