Irby, Amber Nichelle
Irby, Amber Nichelle is an individual health care provider with primary practice located at 903 W Center St #130 , Rochester MN 55902. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Irby, Amber Nichelle can be contacted via phone (507) 529-0436.Contact Information
Primary practice address
903 W Center St #130
Rochester MN 55902
Phone: (507) 529-0436
Fax: (507) 529-0435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Therapist | 125J00000X | DT129 | Minnesota |
Profile Details
| NPI number | 1487264446 |
|---|---|
| LBN Legal business name | Irby, Amber Nichelle |
| Credentials | MDT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2020 |
| Last updated | Aug 5th, 2020 - about 5 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 | 1487264446 | NPPES |
| Other | NA | NA |
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