Ninichuck, Andrew John
Ninichuck, Andrew John is an sole proprietor health care provider with primary practice located at 527 Benham St , Bonne Terre MO 63628-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ninichuck, Andrew John can be contacted via phone (573) 358-9119.Contact Information
Primary practice address
527 Benham St
Bonne Terre MO 63628-1205
Phone: (573) 358-9119
Fax: (573) 358-9489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 102387 | Missouri |
Profile Details
| NPI number | 1609841956 |
|---|---|
| LBN Legal business name | Ninichuck, Andrew John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Nov 10th, 2015 - about 10 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 | 1609841956 | NPPES |
| Missouri | MEDICAID | 1609841956 |
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