Baremore, Amy Chrisandra

Baremore, Amy Chrisandra is an sole proprietor health care provider with primary practice located at 3625 E 20Th St Ste B , Joplin MO 64801-5981. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Baremore, Amy Chrisandra can be contacted via phone (417) 812-5103.

Contact Information

Primary practice address
3625 E 20Th St Ste B Joplin MO 64801-5981
Phone: (417) 812-5103
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 219140 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53-82623-061 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2020001756 Missouri

Profile Details

NPI number 1578193637
LBN Legal business name Baremore, Amy Chrisandra
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2020
Last updated Apr 9th, 2024 - 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 1578193637 NPPES
Missouri MEDICAID 420079833
Missouri MEDICAID 282154758

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