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
Fax: (614) 837-0425
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730473257 NPPES
Ohio MEDICAID 0107309

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