Gloudeman, Amanda Jo
Gloudeman, Amanda Jo is an sole proprietor health care provider with primary practice located at 1601 E 4Th Plain Blvd , Vancouver WA 98661-3713. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Gloudeman, Amanda Jo can be contacted via phone (360) 397-8246.Contact Information
Primary practice address
1601 E 4Th Plain Blvd
Vancouver WA 98661-3713
Phone: (360) 397-8246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | CG61340298 | Washington |
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1265168348 |
|---|---|
| LBN Legal business name | Gloudeman, Amanda Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2022 |
| Last updated | May 2nd, 2023 - about last year |
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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