O'Shaughnessy, Andrew W
O'Shaughnessy, Andrew W is an individual health care provider with primary practice located at 7836 W Jefferson Blvd Suite 101, Fort Wayne IN 46804-4165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. O'Shaughnessy, Andrew W can be contacted via phone (260) 494-3484.Contact Information
Primary practice address
7836 W Jefferson Blvd Suite 101
Fort Wayne IN 46804-4165
Phone: (260) 494-3484
Fax: (260) 969-0188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35.068806 | Ohio |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01040936A | Indiana |
Profile Details
| NPI number | 1568416865 |
|---|---|
| LBN Legal business name | O'Shaughnessy, Andrew W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | May 27th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568416865 | NPPES |
| Indiana | MEDICAID | 200014900 |
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