Brettillo, Amanda R

Brettillo, Amanda R is an sole proprietor health care provider with primary practice located at 10 Lands End Dr , Candler NC 28715-9198. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is her primary health care specialty. Brettillo, Amanda R can be contacted via phone (828) 551-7571.

Contact Information

Primary practice address
10 Lands End Dr Candler NC 28715-9198
Phone: (828) 551-7571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 2022-9757-01 North Carolina
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1407577968
LBN Legal business name Brettillo, Amanda R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2022
Last updated May 6th, 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 1407577968 NPPES
North Carolina Other 2022-9757-01 NC DIVISON OF MENTAL HEALTH,DEVELOPMETAL DISABILITIES AND SUBSTANCE ABUSE
North Carolina MEDICAID 40422193 NC DIVISON OF MENTAL HEALTH,DEVELOPMETAL DISABILITIES AND SUBSTANCE ABUSE

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