Dupont, Amanda Sara

Dupont, Amanda Sara is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Dupont, Amanda Sara can be contacted via phone (414) 266-2625.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Fax: (414) 266-2635
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 72702-21 Wisconsin

Profile Details

NPI number 1760903934
LBN Legal business name Dupont, Amanda Sara
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Aug 6th, 2021 - about 3 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 1760903934 NPPES
Wisconsin MEDICAID 1760903934

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