Ayers, Amanda Stevenson
Ayers, Amanda Stevenson is an individual health care provider with primary practice located at 6 Northwestern Dr Ste 305 , Bloomfield CT 06002-3428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Ayers, Amanda Stevenson can be contacted via phone (860) 242-8591.Contact Information
Primary practice address
6 Northwestern Dr Ste 305
Bloomfield CT 06002-3428
Phone: (860) 242-8591
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 48711 | Connecticut |
Profile Details
| NPI number | 1528268182 |
|---|---|
| LBN Legal business name | Ayers, Amanda Stevenson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jun 28th, 2021 - about 4 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 | 1528268182 | NPPES |
| Connecticut | MEDICAID | 004095148 |
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