Blue, Amanda
Blue, Amanda is an sole proprietor health care provider with primary practice located at 2420 Linwood Dr Ste 1 , Paragould AR 72450-6122. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Blue, Amanda can be contacted via phone (870) 236-5880.Contact Information
Primary practice address
2420 Linwood Dr Ste 1
Paragould AR 72450-6122
Phone: (870) 236-5880
Fax: (870) 236-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1326298282 |
|---|---|
| LBN Legal business name | Blue, Amanda |
| Credentials | MHPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2008 |
| Last updated | Jan 12th, 2011 - about 13 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 | 1326298282 | NPPES |
| Arkansas | MEDICAID | 1123 |
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