Hale, Amanda Knauer
Hale, Amanda Knauer is an individual health care provider with primary practice located at 114 Sutherlin Dr Ste 1C , Warner Robins GA 31088-2259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hale, Amanda Knauer can be contacted via phone (478) 287-6144.Contact Information
Primary practice address
114 Sutherlin Dr Ste 1C
Warner Robins GA 31088-2259
Phone: (478) 287-6144
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5964 | Georgia |
Profile Details
NPI number | 1235432519 |
---|---|
LBN Legal business name | Hale, Amanda Knauer |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 8th, 2010 |
Last updated | Nov 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235432519 | NPPES |
Georgia | MEDICAID | 003126689B | |
Georgia | MEDICAID | 003126689A |
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