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Contact Information

ANDREW F CALDWELL
11020 STATE ROUTE 250
LAWRENCEVILLE, IL62439
 Phone: 618-943-3754
 Fax: 618-943-3657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANDREW F CALDWELL · (Male)

NPI # 1396200531
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2019
Last updated 02/01/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 376006178008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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