National Provider Identifier Database

TINA ANDREWS
Family


Contact Information

TINA ANDREWS
1254 MAIN ST
IMPERIAL, MO63052-3861
Phone: 636-741-3130
Fax: 636-741-3131
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for TINA ANDREWS

NPI Number 1528580479
Credentials
Entity Individual
Enumeration date 07/12/2017
Last updated 02/01/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • MO License #: F07170275
Hospital affiliation n/a

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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