Toole, Amanda J

Toole, Amanda J is an individual health care provider with primary practice located at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores MI 48081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as her primary health care specialty. Toole, Amanda J can be contacted via phone (586) 779-7610.

Contact Information

Primary practice address
21000 E 12 Mile Rd Suite 111 Saint Clair Shores MI 48081
Phone: (586) 779-7610
Fax: (586) 445-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X AT077352 Michigan

Profile Details

NPI number 1982796488
LBN Legal business name Toole, Amanda J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 5th, 2007 - about 17 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 1982796488 NPPES
Other 104263 GREAT LAKES
Other H31309 GREAT LAKES
Other 7246248 GREAT LAKES
Other C7547 GREAT LAKES
Other 0405011091 GREAT LAKES
Other 131198 GREAT LAKES
Other 4112028002 GREAT LAKES
Other 0501109 GREAT LAKES
MEDICAID 4284574 GREAT LAKES

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