Anderson, Amanda Chantell

Anderson, Amanda Chantell is an sole proprietor health care provider with primary practice located at 7801 Old Branch Ave Unit 300 #13, Clinton MD 20735. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Anderson, Amanda Chantell can be contacted via phone (301) 381-1666.

Contact Information

Primary practice address
7801 Old Branch Ave Unit 300 #13 Clinton MD 20735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Maryland

Profile Details

NPI number 1073212122
LBN Legal business name Anderson, Amanda Chantell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2023
Last updated Feb 27th, 2023 - about last year

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 1073212122 NPPES
Maryland Other 82-1428313 PROSTHETIC/ORTHOTIC SUPPLIER

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