Sample, Andrea R

Sample, Andrea R is an individual health care provider with primary practice located at 12277 De Paul Dr Ste 305 , Bridgeton MO 63044-2529. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Sample, Andrea R can be contacted via phone (314) 344-7585.

Contact Information

Primary practice address
12277 De Paul Dr Ste 305 Bridgeton MO 63044-2529
Phone: (314) 344-7585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2006012211 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2006012211 Missouri

Profile Details

NPI number 1972602761
LBN Legal business name Sample, Andrea R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 26th, 2020 - 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 1972602761 NPPES
Missouri Other 2006012211 MISSOUIR LICENSE

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