Bryan, Amanda E
Bryan, Amanda E is an individual health care provider with primary practice located at 1520 S Main St Suite 3, Dayton OH 45409-2698. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bryan, Amanda E can be contacted via phone (937) 208-7240.Contact Information
Primary practice address
1520 S Main St Suite 3
Dayton OH 45409-2698
Phone: (937) 208-7240
Fax: (937) 208-7242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50002691 | Ohio |
Profile Details
| NPI number | 1265611818 |
|---|---|
| LBN Legal business name | Bryan, Amanda E |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2007 |
| Last updated | Nov 19th, 2013 - about 12 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 | 1265611818 | NPPES |
| Ohio | MEDICAID | 0067774 |
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