Showalter, Andra G.

Showalter, Andra G. is an individual health care provider with primary practice located at 1401 Johnston Willis Dr Ste 4100, Richmond VA 23235-4730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Showalter, Andra G. can be contacted via phone (804) 323-1401.

Contact Information

Primary practice address
1401 Johnston Willis Dr Ste 4100 Richmond VA 23235-4730
Fax: (804) 323-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101058078 Virginia

Profile Details

NPI number 1336145192
LBN Legal business name Showalter, Andra G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1336145192 NPPES
Virginia MEDICAID 7603967

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