Maggard, Amber

Maggard, Amber is an individual health care provider with primary practice located at 115 Rockwood Ln , Hazard KY 41701-9415. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maggard, Amber can be contacted via phone (606) 436-5761.

Contact Information

Primary practice address
115 Rockwood Ln Hazard KY 41701-9415
Fax: (606) 436-5797
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 168145 Kentucky

Profile Details

NPI number 1275856999
LBN Legal business name Maggard, Amber
Credentials LPP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2010
Last updated Mar 29th, 2018 - about 6 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 1275856999 NPPES
Kentucky MEDICAID 7100407760

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