Lane, Andrew

Lane, Andrew is an individual health care provider with primary practice located at 9443 E 38Th St , Indianapolis IN 46235-2132. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lane, Andrew can be contacted via phone (317) 890-2100.

Contact Information

Primary practice address
9443 E 38Th St Indianapolis IN 46235-2132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12010414A Indiana

Profile Details

NPI number 1669466736
LBN Legal business name Lane, Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 30th, 2020 - 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 1669466736 NPPES
Indiana MEDICAID 200372230

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