Brewsaugh, Amanda

Brewsaugh, Amanda is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Brewsaugh, Amanda can be contacted via phone (937) 641-5310.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-5310
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001134 Connecticut
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1069423 Ohio
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD.7583 Ohio

Profile Details

NPI number 1881034056
LBN Legal business name Brewsaugh, Amanda
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Jan 23rd, 2020 - about 4 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 1881034056 NPPES
Connecticut Other C02658 YALE NEW HAVEN HOSPITAL MEDICARE NUMBER
Connecticut Other 001134 YALE NEW HAVEN HOSPITAL MEDICARE NUMBER

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