Carpenter, Andrea

Carpenter, Andrea is an individual health care provider with primary practice located at 659 Boulevard St , Dover OH 44622-2026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carpenter, Andrea can be contacted via phone (330) 364-0894.

Contact Information

Primary practice address
659 Boulevard St Dover OH 44622-2026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19156 Ohio

Profile Details

NPI number 1376991364
LBN Legal business name Carpenter, Andrea
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated May 31st, 2016 - 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 1376991364 NPPES
Ohio Other 19156 COA

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