Macsparran, Amy B

Macsparran, Amy B is an individual health care provider with primary practice located at 300 Corporate Center Drive , Scott Depot WV 25560. 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. Macsparran, Amy B can be contacted via phone (304) 691-6800.

Contact Information

Primary practice address
300 Corporate Center Drive Scott Depot WV 25560
Phone: (304) 691-6800
Fax: (304) 691-6751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002685 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1783 West Virginia

Profile Details

NPI number 1558414946
LBN Legal business name Macsparran, Amy B
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Sep 5th, 2023 - about 2 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 1558414946 NPPES
West Virginia MEDICAID 1558414946

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