Stevenson, Amanda

Stevenson, Amanda is an individual health care provider with primary practice located at 175 Madison Ave , Mount Holly NJ 08060-2038. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Stevenson, Amanda can be contacted via phone (732) 814-9179.

Contact Information

Primary practice address
175 Madison Ave Mount Holly NJ 08060-2038
Phone: (732) 814-9179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1013577345
LBN Legal business name Stevenson, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2019
Last updated May 20th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013577345 NPPES
Other 86027624 CDR

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