1427286434 NPI number — DR. MARGARET MARY ANDREWS D.P.M.

Table of content: DR. MARGARET MARY ANDREWS D.P.M. (NPI 1427286434)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427286434 NPI number — DR. MARGARET MARY ANDREWS D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDREWS
Provider First Name:
MARGARET
Provider Middle Name:
MARY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCGARRY
Provider Other First Name:
MARGARET
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.P.M.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427286434
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41400 DEQUINDRE RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
STERLING HEIGHTS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48314-3763
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-731-7873
Provider Business Mailing Address Fax Number:
586-731-7912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41400 DEQUINDRE RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
STERLING HEIGHTS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48314-3763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-731-7873
Provider Business Practice Location Address Fax Number:
586-731-7912
Provider Enumeration Date:
06/29/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  016.005451 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0103X , with the licence number: 016002593 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 213ES0103X , with the licence number: 5901002612 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)