Mernitz, Andrea

Mernitz, Andrea is an individual health care provider with primary practice located at 4001 W Goeller Blvd Ste A , Columbus IN 47201-8309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mernitz, Andrea can be contacted via phone (812) 375-3330.

Contact Information

Primary practice address
4001 W Goeller Blvd Ste A Columbus IN 47201-8309
Fax: (812) 375-3329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1051166 Indiana

Profile Details

NPI number 1962460964
LBN Legal business name Mernitz, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Dec 5th, 2022 - 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 1962460964 NPPES
Indiana Other 000000984082 ANTHEM PIN
Indiana MEDICAID 200229670A ANTHEM PIN
Indiana Other 000000089944 ANTHEM PIN
Indiana Other 1051166 ANTHEM PIN
Indiana Other 080141548 ANTHEM PIN

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