Stover, Amanda Reno
Stover, Amanda Reno is an sole proprietor health care provider with primary practice located at 11925 Lithopolis Rd Nw , Canal Winchester OH 43110-9585. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stover, Amanda Reno can be contacted via phone (614) 837-6363.Contact Information
Primary practice address
11925 Lithopolis Rd Nw
Canal Winchester OH 43110-9585
Phone: (614) 837-6363
Fax: (614) 837-0425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-011416 | Ohio |
Profile Details
NPI number | 1730473257 |
---|---|
LBN Legal business name | Stover, Amanda Reno |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2011 |
Last updated | Feb 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730473257 | NPPES |
Ohio | MEDICAID | 0107309 |
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