Anderson, Andrea

Anderson, Andrea is an sole proprietor health care provider with primary practice located at 26777 Lorain Rd Ste 412 , North Olmsted OH 44070-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anderson, Andrea can be contacted via phone (330) 221-1155.

Contact Information

Primary practice address
26777 Lorain Rd Ste 412 North Olmsted OH 44070-3224
Phone: (330) 221-1155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2002687 Ohio

Profile Details

NPI number 1265946040
LBN Legal business name Anderson, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2017
Last updated May 10th, 2021 - about 5 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 1265946040 NPPES
Ohio MEDICAID 1265946040

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