Modic, Andrew

Modic, Andrew is an individual health care provider with primary practice located at 1111 N China Lake Blvd , Ridgecrest CA 93555-3131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Modic, Andrew can be contacted via phone (760) 499-3855.

Contact Information

Primary practice address
1111 N China Lake Blvd Ridgecrest CA 93555-3131
Phone: (760) 499-3855
Fax: (760) 499-3870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.34762 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A155740 California

Profile Details

NPI number 1063831972
LBN Legal business name Modic, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2014
Last updated Feb 12th, 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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