Enos, Andrea Ward
Enos, Andrea Ward is an individual health care provider with primary practice located at 1983 Sloan Pl Ste 16 , Maplewood MN 55117-2004. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Enos, Andrea Ward can be contacted via phone (651) 340-2439.Contact Information
Primary practice address
1983 Sloan Pl Ste 16
Maplewood MN 55117-2004
Phone: (651) 340-2439
Fax: (651) 340-2163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303568 | Minnesota |
Profile Details
| NPI number | 1538728670 |
|---|---|
| LBN Legal business name | Enos, Andrea Ward |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2019 |
| Last updated | Jun 12th, 2019 - about 7 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 | 1538728670 | NPPES |
| Minnesota | MEDICAID | 303568 |
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