Mason, Amanda King

Mason, Amanda King is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mason, Amanda King can be contacted via phone (208) 463-3000.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686
Phone: (208) 463-3000
Fax: (208) 463-3351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-14374 Idaho

Profile Details

NPI number 1285925644
LBN Legal business name Mason, Amanda King
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2011
Last updated Sep 11th, 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 1285925644 NPPES
Maryland Other D0078768 MD LICENSE
Maryland Other M14374 MD LICENSE

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