Mccann, Andrea L

Mccann, Andrea L is an sole proprietor health care provider with primary practice located at 6601 S Minnesota Ave. Suite 200, Sioux Falls SD 57108. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mccann, Andrea L can be contacted via phone (605) 336-6294.

Contact Information

Primary practice address
6601 S Minnesota Ave. Suite 200 Sioux Falls SD 57108
Phone: (605) 336-6294
Fax: (605) 336-0266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2392 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 636 South Dakota

Profile Details

NPI number 1083607493
LBN Legal business name Mccann, Andrea L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Jun 29th, 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 1083607493 NPPES
Nebraska MEDICAID 10024952400
Nebraska MEDICAID 1083607493
Nebraska MEDICAID 1083607493
Nebraska MEDICAID 9203740
Nebraska MEDICAID 10025032100

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