Andres, River
Andres, River is an individual health care provider with primary practice located at 819 Bloomington Rd , Champaign IL 61820-2101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andres, River can be contacted via phone (217) 356-1558.Contact Information
Primary practice address
819 Bloomington Rd
Champaign IL 61820-2101
Phone: (217) 356-1558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.006815 | Illinois |
Profile Details
| NPI number | 1093283954 |
|---|---|
| LBN Legal business name | Andres, River |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2018 |
| Last updated | Jan 3rd, 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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