Converse, Amanda M

Converse, Amanda M is an individual health care provider with primary practice located at 525 Elliott Ave , Grand Haven MI 49417-1038. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Converse, Amanda M can be contacted via phone (616) 566-1603.

Contact Information

Primary practice address
525 Elliott Ave Grand Haven MI 49417-1038
Phone: (616) 566-1603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 7501002519
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501002519 Michigan

Profile Details

NPI number 1205435161
LBN Legal business name Converse, Amanda M
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2020
Last updated Nov 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205435161 NPPES
Michigan Other 7501002519 LICENSE NUMBER

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