Burrage, Amanda Bancroft
Burrage, Amanda Bancroft is an individual health care provider with primary practice located at 167 Main St. , Tuba City AZ 86045. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Burrage, Amanda Bancroft can be contacted via phone (866) 976-5941.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 76475 | Georgia |
Profile Details
| NPI number | 1023452984 |
|---|---|
| LBN Legal business name | Burrage, Amanda Bancroft |
| Credentials | M.D. M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2013 |
| Last updated | Mar 6th, 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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