Andersen, Martin Julius

Andersen, Martin Julius is an individual health care provider with primary practice located at 1115 Ronald Reagan Pkwy Ste 206 , Avon IN 46123-6911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Andersen, Martin Julius can be contacted via phone (317) 217-2200.

Contact Information

Primary practice address
1115 Ronald Reagan Pkwy Ste 206 Avon IN 46123-6911
Phone: (317) 217-2200
Fax: (317) 217-2205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 200600754 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 02003131A Indiana

Profile Details

NPI number 1669406237
LBN Legal business name Andersen, Martin Julius
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 19th, 2020 - about 6 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 1669406237 NPPES
North Carolina Other 200600754 N.C, MEDICAL BOARD
North Carolina MEDICAID 200843770 N.C, MEDICAL BOARD

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