Lundberg, Andrew Hayward
Lundberg, Andrew Hayward is an individual health care provider with primary practice located at 235 Tyson Ave , Paris TN 38242-4544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lundberg, Andrew Hayward can be contacted via phone (731) 644-3211.Contact Information
Primary practice address
235 Tyson Ave
Paris TN 38242-4544
Phone: (731) 644-3211
Fax: (731) 644-1552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD29285 | Tennessee |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD29285 | Tennessee |
Profile Details
| NPI number | 1770509705 |
|---|---|
| LBN Legal business name | Lundberg, Andrew Hayward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 5th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770509705 | NPPES |
| Tennessee | Other | P00113129 | RAILROAD MEDICARE INDIVID |
| Tennessee | Other | DB4003 | RAILROAD MEDICARE INDIVID |
| Tennessee | MEDICAID | 3881424 | RAILROAD MEDICARE INDIVID |
| Tennessee | Other | 4075410 | RAILROAD MEDICARE INDIVID |
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