Mandeville, Andrea

Mandeville, Andrea is an sole proprietor health care provider with primary practice located at 2160 Fort Harrods Dr # 22, Lexington KY 40513-1052. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mandeville, Andrea can be contacted via phone (765) 404-2875.

Contact Information

Primary practice address
2160 Fort Harrods Dr # 22 Lexington KY 40513-1052
Phone: (765) 404-2875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1376745349
LBN Legal business name Mandeville, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Mar 4th, 2008 - about 18 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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