Amaya, Michelle Irene

Amaya, Michelle Irene is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-0100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Amaya, Michelle Irene can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-0100
Phone: (843) 792-1414
Fax: (843) 792-1827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17476 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31238 South Carolina
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 31238 South Carolina

Profile Details

NPI number 1568489557
LBN Legal business name Amaya, Michelle Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Sep 12th, 2011 - about 13 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 1568489557 NPPES
Alabama MEDICAID 000024694
Alabama Other 510-24694
Alabama Other F61561
Alabama MEDICAID 009999735
Alabama MEDICAID 000028985
Alabama MEDICAID 312389

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