Edmister, Andrea R
Edmister, Andrea R is an individual health care provider with primary practice located at 100 Navarre Pl Ste 4460, South Bend IN 46601-1168. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Edmister, Andrea R can be contacted via phone (574) 235-1010.Contact Information
Primary practice address
100 Navarre Pl Ste 4460
South Bend IN 46601-1168
Phone: (574) 235-1010
Fax: (574) 232-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 80209 | Texas |
Profile Details
| NPI number | 1265766703 |
|---|---|
| LBN Legal business name | Edmister, Andrea R |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2009 |
| Last updated | Apr 28th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265766703 | NPPES |
| Indiana | MEDICAID | 300072519 |
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