Long, Amanda

Long, Amanda is an individual health care provider with primary practice located at 748 Mcmechen St , Benwood WV 26031-1100. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Long, Amanda can be contacted via phone (304) 233-3747.

Contact Information

Primary practice address
748 Mcmechen St Benwood WV 26031-1100
Phone: (304) 233-3747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1851987531
LBN Legal business name Long, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2020
Last updated Dec 16th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851987531 NPPES
West Virginia MEDICAID 1699896316

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