Jester, Andrea L

Jester, Andrea L is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Jester, Andrea L can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01075341A Indiana

Profile Details

NPI number 1457514101
LBN Legal business name Jester, Andrea L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Mar 5th, 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 1457514101 NPPES
Other 000001021630 ANTHEM BC/BS
Other 01075341 ANTHEM BC/BS
MEDICAID 201114490 ANTHEM BC/BS
MEDICAID 7100421230 ANTHEM BC/BS

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