Montaban, Amanda
Montaban, Amanda is an individual health care provider with primary practice located at 3000 S Croatan Hwy , Nags Head NC 27959-9029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Montaban, Amanda can be contacted via phone (252) 441-3507.Contact Information
Primary practice address
3000 S Croatan Hwy
Nags Head NC 27959-9029
Phone: (252) 441-3507
Fax: (252) 441-1327
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 8089 | North Carolina |
Profile Details
NPI number | 1497725717 |
---|---|
LBN Legal business name | Montaban, Amanda |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497725717 | NPPES |
North Carolina | MEDICAID | 7211718 | |
North Carolina | Other | D4924 | |
North Carolina | Other | 079JX |
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