Medendorp, Andrew

Medendorp, Andrew is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Medendorp, Andrew can be contacted via phone (808) 433-2595.

Contact Information

Primary practice address
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-2595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23990 Nebraska
Allopathic & Osteopathic Physicians / Urology 208800000X 042.0012951 Vermont

Profile Details

NPI number 1841346871
LBN Legal business name Medendorp, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 9th, 2021 - about 3 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 1841346871 NPPES
Vermont MEDICAID 1023483

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