Prusak, Amanda
Prusak, Amanda is an individual health care provider with primary practice located at 1800 Mcfarland Blvd E Ste 340 , Tuscaloosa AL 35404-5882. 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. Prusak, Amanda can be contacted via phone (205) 345-2801.Contact Information
Primary practice address
1800 Mcfarland Blvd E Ste 340
Tuscaloosa AL 35404-5882
Phone: (205) 345-2801
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2310 | North Carolina |
Profile Details
NPI number | 1144642158 |
---|---|
LBN Legal business name | Prusak, Amanda |
Credentials | MA, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2014 |
Last updated | Apr 5th, 2019 - about 5 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 | 1144642158 | NPPES |
North Carolina | Other | 2310 | NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS |
North Carolina | Other | 200014240 | NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS |
Popular Providers
-
Leaver-Dunn, Deidre Dianne
Sorority Circle The University Of Alabama, Tuscaloosa AL 35487-0001 -
Wheeler, Katie Briann
1201 Coliseum Drive , Tuscaloosa AL 35401 -
Duran, Louis Edward
323 Paul Bryant Dr. Athletic Training Room, Tuscaloosa AL 35401 -
Mascaro, Christina Jean
Box 870393 , Tuscaloosa AL 35487-0001 -
Hastings, Lorene Elizabeth
401 5Th Avenue East , Tuscaloosa AL 35487-0001 -
Abadie, Allyn
401 5Th Avenue East , Tuscaloosa AL 35401 -
Brown, John Rodney
323 Bryant Dr , Tuscaloosa AL 35487-0001 -
Kopec, Thomas
431 Russell Hl Box 870311, Tuscaloosa AL 35487-0311