Hartford, Andrea

Hartford, Andrea is an individual health care provider with primary practice located at 1428 S Lapeer Rd , Lake Orion MI 48360-1437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hartford, Andrea can be contacted via phone (248) 845-4237.

Contact Information

Primary practice address
1428 S Lapeer Rd Lake Orion MI 48360-1437
Fax: (248) 693-3683
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101027793 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OP61292581 Washington

Profile Details

NPI number 1063864569
LBN Legal business name Hartford, Andrea
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Apr 3rd, 2024 - about 2 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 1063864569 NPPES
Washington MEDICAID 2211802

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