Wang, Amber

Wang, Amber is an sole proprietor health care provider with primary practice located at 312 Maple Ave , Middleton ID 83644-5469. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Wang, Amber can be contacted via phone (208) 761-8076.

Contact Information

Primary practice address
312 Maple Ave Middleton ID 83644-5469
Fax:
Website:

Health care specialties

Profile Details

NPI number 1568192540
LBN Legal business name Wang, Amber
Credentials IS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2022
Last updated Jun 13th, 2022 - about 3 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 1568192540 NPPES
Idaho MEDICAID A0010141

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