Miller Finch, Andrea M
Miller Finch, Andrea M is an individual health care provider with primary practice located at 1625 W North Ave Apt 1A-1E , Chicago IL 60622-8415. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Miller Finch, Andrea M can be contacted via phone (312) 208-4977.Contact Information
Primary practice address
1625 W North Ave Apt 1A-1E
Chicago IL 60622-8415
Phone: (312) 208-4977
Fax: (312) 208-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019022059 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 019022059 | Illinois |
Profile Details
| NPI number | 1124028113 |
|---|---|
| LBN Legal business name | Miller Finch, Andrea M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2005 |
| Last updated | Mar 16th, 2023 - about 3 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 | 1124028113 | NPPES |
| Illinois | MEDICAID | 1002966 | |
| Illinois | Other | 1245401124 |
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