Atha, Amy J
Atha, Amy J is an individual health care provider with primary practice located at 3360 Pentagon Blvd , Beavercreek OH 45431-1702. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Atha, Amy J can be contacted via phone (937) 426-4638.Contact Information
Primary practice address
3360 Pentagon Blvd
Beavercreek OH 45431-1702
Phone: (937) 426-4638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | OP.017146 | Ohio |
Profile Details
| NPI number | 1285332478 |
|---|---|
| LBN Legal business name | Atha, Amy J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2023 |
| Last updated | Feb 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285332478 | NPPES |
| Ohio | MEDICAID | OP.017146-S |
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