Emerson, Amanda Leigh

Emerson, Amanda Leigh is an individual health care provider with primary practice located at 175 Union St , Bangor ME 04401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Emerson, Amanda Leigh can be contacted via phone (207) 941-2850.

Contact Information

Primary practice address
175 Union St Bangor ME 04401
Fax: (207) 941-2852
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AP1222 Maine

Profile Details

NPI number 1720151129
LBN Legal business name Emerson, Amanda Leigh
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Aug 27th, 2015 - about 10 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 1720151129 NPPES
Maine Other 044210 ANTHEM
Maine MEDICAID 325670099 ANTHEM

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