Madison, Amanda Jo
Madison, Amanda Jo is an individual health care provider with primary practice located at 2319 7Th St W , Saint Paul MN 55116-2813. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Madison, Amanda Jo can be contacted via phone (651) 698-0793.Contact Information
Primary practice address
2319 7Th St W
Saint Paul MN 55116-2813
Phone: (651) 698-0793
Fax: (651) 698-0378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 202619 | Minnesota |
Profile Details
| NPI number | 1053091975 |
|---|---|
| LBN Legal business name | Madison, Amanda Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2023 |
| Last updated | Jul 25th, 2023 - about last year |
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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