Baskerville, Amanda Nicole

Baskerville, Amanda Nicole is an individual health care provider with primary practice located at Madigan Annex, E Johnson St Building 9911C, Ramp 2, Joint Base Lewis-Mcchord WA 98433. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Baskerville, Amanda Nicole can be contacted via phone (253) 968-3431.

Contact Information

Primary practice address
Madigan Annex, E Johnson St Building 9911C, Ramp 2 Joint Base Lewis-Mcchord WA 98433
Phone: (253) 968-3431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD61318724 Washington
Speech, Language and Hearing Service Providers / Audiologist 231H00000X Washington
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X LD61318724 Washington

Profile Details

NPI number 1649904939
LBN Legal business name Baskerville, Amanda Nicole
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Nov 27th, 2023 - about 2 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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