Church, Annamaria T

Church, Annamaria T is an individual health care provider with primary practice located at 82934 Civic Center Dr , Indio CA 92201-4308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Church, Annamaria T can be contacted via phone (909) 382-7100.

Contact Information

Primary practice address
82934 Civic Center Dr Indio CA 92201-4308
Phone: (909) 382-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G162055 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301044151 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44006 Tennessee

Profile Details

NPI number 1669452371
LBN Legal business name Church, Annamaria T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 29th, 2026 - about 2 months 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 1669452371 NPPES
Michigan MEDICAID 4485527
Michigan MEDICAID 1509336

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