Forristal, Amanda Rae
Forristal, Amanda Rae is an sole proprietor health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Forristal, Amanda Rae can be contacted via phone (270) 798-8035.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (270) 798-8035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704243857 | Michigan |
Profile Details
| NPI number | 1861531360 |
|---|---|
| LBN Legal business name | Forristal, Amanda Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Dec 11th, 2018 - about 6 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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