Dornfeld, Amanda Marie
Dornfeld, Amanda Marie is an sole proprietor health care provider with primary practice located at 3118 N National Rd , Columbus IN 47201-3169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dornfeld, Amanda Marie can be contacted via phone (812) 308-4594.Contact Information
Primary practice address
3118 N National Rd
Columbus IN 47201-3169
Phone: (812) 308-4594
Fax: (812) 302-2130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01059524A | Indiana |
Profile Details
| NPI number | 1811944259 |
|---|---|
| LBN Legal business name | Dornfeld, Amanda Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 7th, 2022 - about 2 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 | 1811944259 | NPPES |
| Indiana | Other | 01059524A | MEDICAL LICENSE |
| Indiana | MEDICAID | 1811944259 | MEDICAL LICENSE |
| Indiana | Other | P00347446 | MEDICAL LICENSE |
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