Roth, Amanda Nicole
Roth, Amanda Nicole is an individual health care provider with primary practice located at 703 Majestic Dr , Crestview FL 32536-2254. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Roth, Amanda Nicole can be contacted via phone (210) 899-9568.Contact Information
Primary practice address
703 Majestic Dr
Crestview FL 32536-2254
Phone: (210) 899-9568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1669107892 |
|---|---|
| LBN Legal business name | Roth, Amanda Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2022 |
| Last updated | Jul 21st, 2022 - about 2 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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