Luxenberg, Andrew M

Luxenberg, Andrew M is an individual health care provider with primary practice located at 659 Boulevard St , Dover OH 44622-2026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Luxenberg, Andrew M can be contacted via phone (330) 602-0767.

Contact Information

Primary practice address
659 Boulevard St Dover OH 44622-2026
Phone: (330) 602-0767
Fax: (330) 365-3831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35064090L Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35064090 Ohio

Profile Details

NPI number 1447236518
LBN Legal business name Luxenberg, Andrew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Apr 3rd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447236518 NPPES
Ohio MEDICAID 0903991
Ohio Other P00774259
Ohio Other 000000162489

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