Amfahr, Carol A

Amfahr, Carol A is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 401 , Kettering OH 45429-1226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Amfahr, Carol A can be contacted via phone (855) 500-2873.

Contact Information

Primary practice address
3700 Southern Blvd Ste 401 Kettering OH 45429-1226
Phone: (855) 500-2873
Fax: (937) 281-3913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA 08082 NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.08082 Ohio

Profile Details

NPI number 1245305051
LBN Legal business name Amfahr, Carol A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 2nd, 2018 - about 7 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 1245305051 NPPES
Ohio Other 0000000363681 ANTHEM
Ohio MEDICAID 2543493 ANTHEM

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