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
Phone: (309) 681-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104895788 | NPPES |
| Illinois | Other | IL0195 | JOHN DEERE |
| Illinois | Other | 07215036 | JOHN DEERE |
| Illinois | MEDICAID | 036053465 | JOHN DEERE |
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