Balof, Amanda
Balof, Amanda is an sole proprietor health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801-4934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Balof, Amanda can be contacted via phone (662) 377-4394.Contact Information
Primary practice address
830 S Gloster St
Tupelo MS 38801-4934
Phone: (662) 377-4394
Fax: (662) 377-7045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R887872 | Mississippi |
Profile Details
| NPI number | 1144698994 |
|---|---|
| LBN Legal business name | Balof, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2015 |
| Last updated | Sep 10th, 2015 - about 9 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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