Carlisle, Amanda Sue

Carlisle, Amanda Sue is an individual health care provider with primary practice located at 1001 Potrero Avenue Rm 2A21, San Francisco CA 94110. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Carlisle, Amanda Sue can be contacted via phone (415) 206-8509.

Contact Information

Primary practice address
1001 Potrero Avenue Rm 2A21 San Francisco CA 94110
Phone: (415) 206-8509
Fax: (415) 285-2037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G48329 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X G48329 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G48329 California

Profile Details

NPI number 1124073887
LBN Legal business name Carlisle, Amanda Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 23rd, 2011 - about 14 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 1124073887 NPPES
California Other 810000759 RAILROAD MEDICARE
California MEDICAID 00G483290 RAILROAD MEDICARE

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