Roeder, Amanda
Roeder, Amanda is an individual health care provider with primary practice located at 9669 E 146Th St Ste 100 , Noblesville IN 46060-5006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roeder, Amanda can be contacted via phone (317) 621-3434.Contact Information
Primary practice address
9669 E 146Th St Ste 100
Noblesville IN 46060-5006
Phone: (317) 621-3434
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10003631A | Indiana |
Profile Details
NPI number | 1447998562 |
---|---|
LBN Legal business name | Roeder, Amanda |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2022 |
Last updated | Jan 31st, 2023 - about last year |
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 | 1447998562 | NPPES |
Indiana | Other | 10003631A | INDIANA LICENSE NUMBER |
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