Amador, Bryan K

Amador, Bryan K is an individual health care provider with primary practice located at 10731 N State Road 13 , Elwood IN 46036-8874. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Amador, Bryan K can be contacted via phone (765) 552-5009.

Contact Information

Primary practice address
10731 N State Road 13 Elwood IN 46036-8874
Fax: (765) 552-8347
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1407025547
LBN Legal business name Amador, Bryan K
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2008
Last updated Apr 20th, 2009 - about 16 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 1407025547 NPPES
Indiana MEDICAID 200898860

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