Sassaman, Andrew E
Sassaman, Andrew E is an individual health care provider with primary practice located at 1830 State Highway 9 , Decorah IA 52101-7301. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sassaman, Andrew E can be contacted via phone (563) 382-2639.Contact Information
Primary practice address
1830 State Highway 9
Decorah IA 52101-7301
Phone: (563) 382-2639
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02177 | Iowa |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3132 | Minnesota |
Profile Details
| NPI number | 1881659001 |
|---|---|
| LBN Legal business name | Sassaman, Andrew E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Apr 24th, 2015 - about 9 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 | 1881659001 | NPPES |
| Iowa | Other | 19525 | GROUP BCBS |
| Iowa | MEDICAID | 0212225 | GROUP BCBS |
| Iowa | Other | 19525 | GROUP BCBS |
| Iowa | Other | 22032 | GROUP BCBS |
| Iowa | MEDICAID | 0195255 | GROUP BCBS |
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