Donnelly, Amanda R
Donnelly, Amanda R is an sole proprietor health care provider with primary practice located at 742 Graham Rd , Cuyahoga Falls OH 44221-1055. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Donnelly, Amanda R can be contacted via phone (330) 929-2616.Contact Information
Primary practice address
742 Graham Rd
Cuyahoga Falls OH 44221-1055
Phone: (330) 929-2616
Fax: (330) 929-2636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21342 | Ohio |
Profile Details
| NPI number | 1639263825 |
|---|---|
| LBN Legal business name | Donnelly, Amanda R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639263825 | NPPES |
| Ohio | Other | 01496920 | UNITED CONCORDIA PROVIDER |
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