Ingalls, Amanda

Ingalls, Amanda is an individual health care provider with primary practice located at 1310 San Bernardino Rd Suite 101, Upland CA 91786-4979. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ingalls, Amanda can be contacted via phone (909) 579-0779.

Contact Information

Primary practice address
1310 San Bernardino Rd Suite 101 Upland CA 91786-4979
Phone: (909) 579-0779
Fax: (909) 579-0789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51923 California

Profile Details

NPI number 1134522501
LBN Legal business name Ingalls, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Feb 24th, 2015 - about 9 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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