Mccullough, Amanda

Mccullough, Amanda is an sole proprietor health care provider with primary practice located at 120 Nix Ridge Rd , Ash Flat AR 72513-9017. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Mccullough, Amanda can be contacted via phone (870) 994-3103.

Contact Information

Primary practice address
120 Nix Ridge Rd Ash Flat AR 72513-9017
Phone: (870) 994-3103
Fax: (870) 994-3108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1174133979
LBN Legal business name Mccullough, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 4 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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