Mcdonald, Amber Eboni Fatima

Mcdonald, Amber Eboni Fatima is an individual health care provider with primary practice located at 1 Hampton Rd Suite 200, Exeter NH 03833-4848. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mcdonald, Amber Eboni Fatima can be contacted via phone (603) 775-7575.

Contact Information

Primary practice address
1 Hampton Rd Suite 200 Exeter NH 03833-4848
Phone: (603) 775-7575
Fax: (603) 778-9680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105797 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 014676 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1079 New Hampshire

Profile Details

NPI number 1194024299
LBN Legal business name Mcdonald, Amber Eboni Fatima
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2011
Last updated Nov 15th, 2016 - about 8 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 1194024299 NPPES
New Hampshire MEDICAID 3101563

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