Sullivan, Amanda Leigh
Sullivan, Amanda Leigh is an individual health care provider with primary practice located at 8229 Clayton Rd Suite 204, Saint Louis MO 63117-1155. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Sullivan, Amanda Leigh can be contacted via phone (314) 721-7325.Contact Information
Primary practice address
8229 Clayton Rd Suite 204
Saint Louis MO 63117-1155
Phone: (314) 721-7325
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2004020472 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096-001527 | Illinois |
Profile Details
NPI number | 1730141151 |
---|---|
LBN Legal business name | Sullivan, Amanda Leigh |
Credentials | MS, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Jun 9th, 2011 - about 14 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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