Morgan, Andrew

Morgan, Andrew is an sole proprietor health care provider with primary practice located at 507 E Armstrong Ave Regional Development Center, Peoria IL 61603-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Morgan, Andrew can be contacted via phone (309) 681-6960.

Contact Information

Primary practice address
507 E Armstrong Ave Regional Development Center Peoria IL 61603-3201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 036053465 Illinois

Profile Details

NPI number 1104895788
LBN Legal business name Morgan, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Feb 14th, 2014 - about 11 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 1104895788 NPPES
Illinois Other IL0195 JOHN DEERE
Illinois Other 07215036 JOHN DEERE
Illinois MEDICAID 036053465 JOHN DEERE

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