Caudill, Amy
Caudill, Amy is an individual health care provider with primary practice located at 850 Sw 4Th St , Madras OR 97741-9628. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Caudill, Amy can be contacted via phone (541) 475-6575.Contact Information
Primary practice address
850 Sw 4Th St
Madras OR 97741-9628
Phone: (541) 475-6575
Fax: (541) 504-1195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | THW000003653 | Oregon |
Profile Details
NPI number | 1750942975 |
---|---|
LBN Legal business name | Caudill, Amy |
Credentials | PEER SUPPORT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2019 |
Last updated | Jun 27th, 2019 - about 5 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 | 1750942975 | NPPES |
Oregon | Other | THW000003653 | PEER SUPORT |
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