Moren, Andrew Davis

Moren, Andrew Davis is an sole proprietor health care provider with primary practice located at 2115 Leiter Rd , Miamisburg OH 45342-3659. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moren, Andrew Davis can be contacted via phone (937) 384-6800.

Contact Information

Primary practice address
2115 Leiter Rd Miamisburg OH 45342-3659
Phone: (937) 384-6800
Fax: (937) 384-6939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35126069 Ohio

Profile Details

NPI number 1952667735
LBN Legal business name Moren, Andrew Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2012
Last updated Jan 12th, 2021 - about 4 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 1952667735 NPPES
Ohio MEDICAID 0137920

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