White, Amanda

White, Amanda is an individual health care provider with primary practice located at 1600 Haddon Ave Fl 6 , Camden NJ 08103-3101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. White, Amanda can be contacted via phone (856) 757-3500.

Contact Information

Primary practice address
1600 Haddon Ave Fl 6 Camden NJ 08103-3101
Phone: (856) 757-3500
Fax: (856) 365-4088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 010605 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00395700 New Jersey

Profile Details

NPI number 1013064203
LBN Legal business name White, Amanda
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 15th, 2020 - about 4 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 1013064203 NPPES
New York Other 10605 NYS LICENSE NUMBER
New York Other 5347124 NYS LICENSE NUMBER

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