Chenoweth, Amelia

Chenoweth, Amelia is an sole proprietor health care provider with primary practice located at 2021 S Waverly Ave Ste 700 , Springfield MO 65804-2400. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chenoweth, Amelia can be contacted via phone (417) 860-8684.

Contact Information

Primary practice address
2021 S Waverly Ave Ste 700 Springfield MO 65804-2400
Phone: (417) 860-8684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CS001233 Missouri
Behavioral Health & Social Service Providers / School 101YS0200X 0031844 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW003563 Missouri

Profile Details

NPI number 1871663161
LBN Legal business name Chenoweth, Amelia
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Mar 26th, 2011 - about 13 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 1871663161 NPPES
Missouri MEDICAID 493520852
Missouri MEDICAID 493520837

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