Eller, Amanda E

Eller, Amanda E is an individual health care provider with primary practice located at 130 Hospital Rd Suite 103, Prince Frederick MD 20678-4015. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Eller, Amanda E can be contacted via phone (410) 535-8180.

Contact Information

Primary practice address
130 Hospital Rd Suite 103 Prince Frederick MD 20678-4015
Phone: (410) 535-8180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 23508 Maryland

Profile Details

NPI number 1811292162
LBN Legal business name Eller, Amanda E
Credentials P.T.D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Jan 18th, 2011 - about 14 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 1811292162 NPPES
Maryland MEDICAID 406409700

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