Su, Andrew T
Su, Andrew T is an individual health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Su, Andrew T can be contacted via phone (937) 268-6511.Contact Information
Primary practice address
4100 W 3Rd St
Dayton OH 45428-9000
Phone: (937) 268-6511
Fax: (937) 267-5316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35062288 | Ohio |
Profile Details
| NPI number | 1861496549 |
|---|---|
| LBN Legal business name | Su, Andrew T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 18th, 2017 - about 7 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 | 1861496549 | NPPES |
| Ohio | MEDICAID | 0923915 |
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