Griffin, Amanda Diane
Griffin, Amanda Diane is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Griffin, Amanda Diane can be contacted via phone (806) 414-9800.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N9560 | Texas |
Profile Details
| NPI number | 1124280680 |
|---|---|
| LBN Legal business name | Griffin, Amanda Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | May 3rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124280680 | NPPES |
| New Mexico | MEDICAID | 78286051 | |
| New Mexico | MEDICAID | 280022902 | |
| New Mexico | MEDICAID | 280022904 | |
| New Mexico | MEDICAID | 280022903 | |
| New Mexico | MEDICAID | 200339720 A | |
| New Mexico | MEDICAID | 280022901 |
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