Comly-Van Andel, Cynthia Ann

Comly-Van Andel, Cynthia Ann is an individual health care provider with primary practice located at 6101 S Louise Ave , Sioux Falls SD 57108-5981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Comly-Van Andel, Cynthia Ann can be contacted via phone (605) 312-8000.

Contact Information

Primary practice address
6101 S Louise Ave Sioux Falls SD 57108-5981
Fax: (605) 312-8001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004-0082 New Mexico

Profile Details

NPI number 1700879152
LBN Legal business name Comly-Van Andel, Cynthia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Aug 20th, 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 1700879152 NPPES
New Mexico MEDICAID 03824551
New Mexico Other NM400317

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