Sallberg, Amanda Marie

Sallberg, Amanda Marie is an sole proprietor health care provider with primary practice located at 200 North Maple Avenue , Purcellville VA 20132-6100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sallberg, Amanda Marie can be contacted via phone (540) 338-0177.

Contact Information

Primary practice address
200 North Maple Avenue Purcellville VA 20132-6100
Phone: (540) 338-0177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024188783 Virginia

Profile Details

NPI number 1295597672
LBN Legal business name Sallberg, Amanda Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2024
Last updated Apr 17th, 2024 - about 8 months 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 1295597672 NPPES
Virginia MEDICAID 30017805730001
Virginia MEDICAID 1295597672

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