Roecker, Amanda Marie

Roecker, Amanda Marie is an individual health care provider with primary practice located at 701 3Rd St Nw , Jamestown ND 58401-2963. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Roecker, Amanda Marie can be contacted via phone (701) 952-5142.

Contact Information

Primary practice address
701 3Rd St Nw Jamestown ND 58401-2963
Phone: (701) 952-5142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1129 North Dakota

Profile Details

NPI number 1821344789
LBN Legal business name Roecker, Amanda Marie
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Jul 30th, 2012 - about 13 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 1821344789 NPPES
North Dakota MEDICAID 55696

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