Ams, Daiquiri Fallon
Ams, Daiquiri Fallon is an individual health care provider with primary practice located at 300 Foxglove Dr , Mt Sterling KY 40353-9769. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ams, Daiquiri Fallon can be contacted via phone (859) 498-2135.Contact Information
Primary practice address
300 Foxglove Dr
Mt Sterling KY 40353-9769
Phone: (859) 498-2135
Fax: (859) 498-7547
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 171234 | Kentucky |
Profile Details
NPI number | 1427471549 |
---|---|
LBN Legal business name | Ams, Daiquiri Fallon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2014 |
Last updated | Nov 10th, 2016 - about 8 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 | 1427471549 | NPPES |
Kentucky | MEDICAID | 30610026 |
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