Bosley, Amanda

Bosley, Amanda is an sole proprietor health care provider with primary practice located at 7232 Justin Way , Mentor OH 44060-4881. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Bosley, Amanda can be contacted via phone (440) 578-8200.

Contact Information

Primary practice address
7232 Justin Way Mentor OH 44060-4881
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 0001348 Ohio
Agencies / Case Management 251B00000X
Other Service Providers / Peer Specialist 175T00000X 0001348 Ohio

Profile Details

NPI number 1851945828
LBN Legal business name Bosley, Amanda
Credentials CPSS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2019
Last updated Apr 7th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851945828 NPPES
Ohio MEDICAID 0365239

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