Oliphant, Amber Elise
Oliphant, Amber Elise is an individual health care provider with primary practice located at 4800 Mexico Rd Ste 104, Saint Peters MO 63376-1666. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Oliphant, Amber Elise can be contacted via phone (636) 939-9540.Contact Information
Primary practice address
4800 Mexico Rd Ste 104
Saint Peters MO 63376-1666
Phone: (636) 939-9540
Fax: (636) 939-9886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 07525R | Louisiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2004035080 | Missouri |
Profile Details
| NPI number | 1619117942 |
|---|---|
| LBN Legal business name | Oliphant, Amber Elise |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2009 |
| Last updated | Sep 8th, 2014 - about 10 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 | 1619117942 | NPPES |
| Other | 12206763 | CAQH ID |
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