Cancilla, Amelia Kathleen

Cancilla, Amelia Kathleen is an sole proprietor health care provider with primary practice located at 528 E Main St Ste E , John Day OR 97845-1289. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Cancilla, Amelia Kathleen can be contacted via phone (541) 575-0429.

Contact Information

Primary practice address
528 E Main St Ste E John Day OR 97845-1289
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1669960530
LBN Legal business name Cancilla, Amelia Kathleen
Credentials DTTAC LIFESTYLE COAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2018
Last updated Apr 26th, 2018 - about 7 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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