Andrew J Mandery Md Llc

LBN: Andrew J Mandery Md Llc
Andrew J Mandery Md Llc is an health care organization with primary practice located at 1948 W Boulevard , Kokomo IN 46902-6078. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Andrew J Mandery Md Llc can be contacted via phone (765) 236-1290, or through Mandery, Andrew Jay via phone (765) 236-1290.

Contact Information

Primary practice address
1948 W Boulevard Kokomo IN 46902-6078
Phone: (765) 236-1290
Fax: (765) 236-0420
Website:
Map and Directions
Authorized official contact:
Name: Mandery, Andrew Jay Doctor of Medicine (MD)
Phone: (765) 236-1290

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1922294115
LBN Legal business name Andrew J Mandery Md Llc
DBA Doing business as
Authorized official Mandery, Andrew Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922294115 NPPES
Other 148380 MEDICARE PROVIDER NO.

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