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
Fax: (859) 498-7547
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427471549 NPPES
Kentucky MEDICAID 30610026

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