Needham, Andrea M

Needham, Andrea M is an individual health care provider with primary practice located at 2 S Silver St , Paola KS 66071-1469. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Needham, Andrea M can be contacted via phone (913) 951-7696.

Contact Information

Primary practice address
2 S Silver St Paola KS 66071-1469
Phone: (913) 951-7696
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1819 Kansas

Profile Details

NPI number 1134435225
LBN Legal business name Needham, Andrea M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2010
Last updated Aug 6th, 2013 - about 13 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 1134435225 NPPES
Kansas MEDICAID 200912130

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