Madurski, Amanda Lee
Madurski, Amanda Lee is an individual health care provider with primary practice located at 4000 Sterrettania Rd Lowr Lvl , Erie PA 16506-4125. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Madurski, Amanda Lee can be contacted via phone (814) 836-0543.Contact Information
Primary practice address
4000 Sterrettania Rd Lowr Lvl
Erie PA 16506-4125
Phone: (814) 836-0543
Fax: (814) 838-1145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001930 | Pennsylvania |
Profile Details
| NPI number | 1609069814 |
|---|---|
| LBN Legal business name | Madurski, Amanda Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | May 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609069814 | NPPES |
| Pennsylvania | MEDICAID | 1022032200003 | |
| Pennsylvania | MEDICAID | 1022032200005 | |
| Pennsylvania | MEDICAID | 1022032200004 |
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