Mcannally, Amanda M

Mcannally, Amanda M is an individual health care provider with primary practice located at 805 Saint Vincents Dr Suite 100, Birmingham AL 35205-1636. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Mcannally, Amanda M can be contacted via phone (205) 939-3699.

Contact Information

Primary practice address
805 Saint Vincents Dr Suite 100 Birmingham AL 35205-1636
Phone: (205) 939-3699
Fax: (205) 581-7155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 940 Alabama

Profile Details

NPI number 1104947712
LBN Legal business name Mcannally, Amanda M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Feb 16th, 2011 - about 14 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 1104947712 NPPES
Alabama Other 051545918 BLUE CROSS BLUE SHIELD
Alabama Other 940 BLUE CROSS BLUE SHIELD

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