Mcdonald, Andrew Tad

Mcdonald, Andrew Tad is an individual health care provider with primary practice located at 1725 N 5Th St , Terre Haute IN 47804-4010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mcdonald, Andrew Tad can be contacted via phone (812) 242-3005.

Contact Information

Primary practice address
1725 N 5Th St Terre Haute IN 47804-4010
Phone: (812) 242-3005
Fax: (812) 242-3054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 36113741 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 01062210A Indiana

Profile Details

NPI number 1972618775
LBN Legal business name Mcdonald, Andrew Tad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 13th, 2015 - about 10 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 1972618775 NPPES
Indiana MEDICAID 200826590
Indiana MEDICAID N357972
Indiana Other 7037789
Indiana Other P00866719
Indiana Other 000000481762
Indiana MEDICAID 351904269250
Indiana Other 351904269E
Indiana Other 5055772
Indiana Other P00360017

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