Shoubaki, Amanda

Shoubaki, Amanda is an individual health care provider with primary practice located at 1002 Jefferson Street Suite 200, Laurel MS 39441-0247. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shoubaki, Amanda can be contacted via phone (601) 649-3520.

Contact Information

Primary practice address
1002 Jefferson Street Suite 200 Laurel MS 39441-0247
Phone: (601) 649-3520
Fax: (601) 399-6184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28564 Mississippi

Profile Details

NPI number 1780172213
LBN Legal business name Shoubaki, Amanda
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Aug 16th, 2021 - about 3 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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