Pauley, Amber Michelle
Pauley, Amber Michelle is an sole proprietor health care provider with primary practice located at 431 W Oak St , El Dorado AR 71730-4566. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pauley, Amber Michelle can be contacted via phone (870) 864-9190.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PTA2085 | Arkansas |
Profile Details
| NPI number | 1104919612 |
|---|---|
| LBN Legal business name | Pauley, Amber Michelle |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 19th, 2009 - about 17 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 | 1104919612 | NPPES |
| Arkansas | MEDICAID | 159237721 |
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