White, Andrea

White, Andrea is an individual health care provider with primary practice located at 909 Sw Oralabor Rd Suite 100, Ankeny IA 50023-7004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. White, Andrea can be contacted via phone (515) 963-4400.

Contact Information

Primary practice address
909 Sw Oralabor Rd Suite 100 Ankeny IA 50023-7004
Phone: (515) 963-4400
Fax: (515) 964-9338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-34050 Iowa

Profile Details

NPI number 1679550651
LBN Legal business name White, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 11th, 2015 - about 10 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 1679550651 NPPES
Iowa MEDICAID 2234203
Iowa MEDICAID 1679550651
Iowa MEDICAID 1234203

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