Weber, Amanda Rose Berger

Weber, Amanda Rose Berger is an individual health care provider with primary practice located at 3901 Beaubien Children'S Hospital Of Michigan, Detroit MI 48201. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Weber, Amanda Rose Berger can be contacted via phone (313) 745-5788.

Contact Information

Primary practice address
3901 Beaubien Children'S Hospital Of Michigan Detroit MI 48201
Phone: (313) 745-5788
Fax: (313) 745-5074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101022181 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34.010067 Ohio
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 34.010067 Ohio
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 34.010067 Ohio
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 5101022181 Michigan
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 5101022181 Michigan

Profile Details

NPI number 1053553602
LBN Legal business name Weber, Amanda Rose Berger
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2009
Last updated Jun 7th, 2023 - about last year

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 1053553602 NPPES
Ohio MEDICAID 0124463

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