Amburgey, Jo Nell
Amburgey, Jo Nell is an sole proprietor health care provider with primary practice located at 298 S Main St Suite L3, Colville WA 99114-2447. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Amburgey, Jo Nell can be contacted via phone (509) 675-0642.Contact Information
Primary practice address
298 S Main St Suite L3
Colville WA 99114-2447
Phone: (509) 675-0642
Fax: (509) 738-2561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00007912 | Washington |
Profile Details
| NPI number | 1649671504 |
|---|---|
| LBN Legal business name | Amburgey, Jo Nell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2014 |
| Last updated | Sep 10th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649671504 | NPPES |
| Other | NONE | NONE |
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