Amity, David

Amity, David is an sole proprietor health care provider with primary practice located at 104 4Th Ave Sw , Albany OR 97321-2804. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Amity, David can be contacted via phone (541) 967-3819.

Contact Information

Primary practice address
104 4Th Ave Sw Albany OR 97321-2804
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 98-07-01 Oregon

Profile Details

NPI number 1255756060
LBN Legal business name Amity, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2014
Last updated Mar 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255756060 NPPES
Oregon MEDICAID 101279

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