Shaneberger, Amanda
Shaneberger, Amanda is an individual health care provider with primary practice located at 2118 3 Mile Rd Nw , Grand Rapids MI 49544-1425. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shaneberger, Amanda can be contacted via phone (616) 222-3720.Contact Information
Primary practice address
2118 3 Mile Rd Nw
Grand Rapids MI 49544-1425
Phone: (616) 222-3720
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401010181 | Michigan |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401010181 | Michigan |
Profile Details
NPI number | 1154476398 |
---|---|
LBN Legal business name | Shaneberger, Amanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Dec 11th, 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.
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