Sumich, Andrew Ivan

Sumich, Andrew Ivan is an individual health care provider with primary practice located at 225 Baldwin Ave , Charlotte NC 28204-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Sumich, Andrew Ivan can be contacted via phone (704) 376-1605.

Contact Information

Primary practice address
225 Baldwin Ave Charlotte NC 28204-3109
Phone: (704) 376-1605
Fax: (704) 335-8448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2005-00441 North Carolina

Profile Details

NPI number 1285609719
LBN Legal business name Sumich, Andrew Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Dec 8th, 2020 - about 5 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 1285609719 NPPES
North Carolina MEDICAID 5900887
North Carolina MEDICAID N0044K

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