Pankratz, Amanda C

Pankratz, Amanda C is an sole proprietor health care provider with primary practice located at 11501 W 81St St Apt 338 , Lenexa KS 66214-3319. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Pankratz, Amanda C can be contacted via phone (913) 991-2172.

Contact Information

Primary practice address
11501 W 81St St Apt 338 Lenexa KS 66214-3319
Phone: (913) 991-2172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 964 Nebraska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2021030707 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 24-01469 Kansas

Profile Details

NPI number 1457927527
LBN Legal business name Pankratz, Amanda C
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2021
Last updated Apr 8th, 2022 - about 2 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 1457927527 NPPES
Other 2000034545 BOARD CERTIFICATION NUMBER
Other 104104 BOARD CERTIFICATION NUMBER

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