Reese, Amanda Hale

Reese, Amanda Hale is an individual health care provider with primary practice located at 110 Huffard Dr , Bluefield VA 24605-9209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Reese, Amanda Hale can be contacted via phone (276) 322-2222.

Contact Information

Primary practice address
110 Huffard Dr Bluefield VA 24605-9209
Phone: (276) 322-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0116020743 Virginia

Profile Details

NPI number 1124289582
LBN Legal business name Reese, Amanda Hale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Jan 28th, 2022 - about 3 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 1124289582 NPPES
West Virginia MEDICAID 3810026948
West Virginia MEDICAID 1124289582

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