Anderson, Amanda M

Anderson, Amanda M is an sole proprietor health care provider with primary practice located at 1142 E 15Th St , Ashtabula OH 44004-3628. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Anderson, Amanda M can be contacted via phone (440) 964-3013.

Contact Information

Primary practice address
1142 E 15Th St Ashtabula OH 44004-3628
Phone: (440) 964-3013
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1386794972
LBN Legal business name Anderson, Amanda M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1386794972 NPPES
Ohio MEDICAID 2654337

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