Underwood, Amelia

Underwood, Amelia is an individual health care provider with primary practice located at 591 Mccray St Ste 231 , Hollister CA 95023-2224. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Underwood, Amelia can be contacted via phone (831) 444-2289.

Contact Information

Primary practice address
591 Mccray St Ste 231 Hollister CA 95023-2224
Phone: (831) 444-2289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 53421 California

Profile Details

NPI number 1083065395
LBN Legal business name Underwood, Amelia
Credentials RD, CDE, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Jun 28th, 2016 - about 8 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 1083065395 NPPES
California Other 53421 PHYSICIAN ASSISTANT

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