Porter, Amanda Rose

Porter, Amanda Rose is an sole proprietor health care provider with primary practice located at 216 Sara Beth Dr , Brooklet GA 30415-8212. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Porter, Amanda Rose can be contacted via phone (912) 690-3144.

Contact Information

Primary practice address
216 Sara Beth Dr Brooklet GA 30415-8212
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X ALPP207699

Profile Details

NPI number 1548773146
LBN Legal business name Porter, Amanda Rose
Credentials CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 7 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 1548773146 NPPES
Other ALPP207699 ACADEMY OF LACTATION

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