House, Andrew Glen

House, Andrew Glen is an individual health care provider with primary practice located at 875 State Route Vv , Kennett MO 63857-9108. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. House, Andrew Glen can be contacted via phone (573) 888-5925.

Contact Information

Primary practice address
875 State Route Vv Kennett MO 63857-9108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1952090417
LBN Legal business name House, Andrew Glen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2023
Last updated May 2nd, 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.

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