Thomas, Amanda A

Thomas, Amanda A is an individual health care provider with primary practice located at 48681 Hayes Rd , Shelby Twp MI 48315-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thomas, Amanda A can be contacted via phone (586) 799-1212.

Contact Information

Primary practice address
48681 Hayes Rd Shelby Twp MI 48315-4403
Phone: (586) 799-1212
Fax: (586) 799-1210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005259 Michigan

Profile Details

NPI number 1669634390
LBN Legal business name Thomas, Amanda A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Dec 2nd, 2015 - about 10 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 1669634390 NPPES
Michigan Other 383120356 TAX IDENTIFICATION
Michigan Other AT005259 TAX IDENTIFICATION

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