Phelps, Andrea
Phelps, Andrea is an sole proprietor health care provider with primary practice located at 2054 Coldwater Ct , Indianapolis IN 46239-8702. She recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as her primary health care specialty. Phelps, Andrea can be contacted via phone (317) 679-1336.Contact Information
Primary practice address
2054 Coldwater Ct
Indianapolis IN 46239-8702
Phone: (317) 679-1336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | 24-017159-1 | Indiana |
Profile Details
| NPI number | 1932949427 |
|---|---|
| LBN Legal business name | Phelps, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2024 |
| Last updated | May 30th, 2024 - about 2 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 | 1932949427 | NPPES |
| Indiana | Other | 24-017159-1 | PERSONAL SERVICES AGENCY LICENSE |
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