Kunstman, Andrew Thomas
Kunstman, Andrew Thomas is an sole proprietor health care provider with primary practice located at 1989 Frontage Rd , Sierra Vista AZ 85635-4698. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kunstman, Andrew Thomas can be contacted via phone (520) 458-5611.Contact Information
Primary practice address
1989 Frontage Rd
Sierra Vista AZ 85635-4698
Phone: (520) 458-5611
Fax: (520) 458-8995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3996 | Arizona |
Profile Details
| NPI number | 1225194319 |
|---|---|
| LBN Legal business name | Kunstman, Andrew Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1225194319 | NPPES |
| Arizona | MEDICAID | 094582 | |
| Arizona | Other | 631015 |
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