Fowler, Amanda

Fowler, Amanda is an individual health care provider with primary practice located at 40722 State Route 154 , Lisbon OH 44432-8500. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Fowler, Amanda can be contacted via phone (330) 424-9573.

Contact Information

Primary practice address
40722 State Route 154 Lisbon OH 44432-8500
Fax: (330) 424-0877
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0028544 Ohio

Profile Details

NPI number 1518484054
LBN Legal business name Fowler, Amanda
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 7 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 1518484054 NPPES
Ohio Other S.0028544 SW BOARD

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