Mcdonald, Andrew Tad
Mcdonald, Andrew Tad is an individual health care provider with primary practice located at 1725 N 5Th St , Terre Haute IN 47804-4010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mcdonald, Andrew Tad can be contacted via phone (812) 242-3005.Contact Information
Primary practice address
1725 N 5Th St
Terre Haute IN 47804-4010
Phone: (812) 242-3005
Fax: (812) 242-3054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 36113741 | Illinois |
Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 01062210A | Indiana |
Profile Details
NPI number | 1972618775 |
---|---|
LBN Legal business name | Mcdonald, Andrew Tad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Apr 13th, 2015 - about 9 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 | 1972618775 | NPPES |
Indiana | MEDICAID | 200826590 | |
Indiana | MEDICAID | N357972 | |
Indiana | Other | 7037789 | |
Indiana | Other | P00866719 | |
Indiana | Other | 000000481762 | |
Indiana | MEDICAID | 351904269250 | |
Indiana | Other | 351904269E | |
Indiana | Other | 5055772 | |
Indiana | Other | P00360017 |
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