White, Amanda Michelle

White, Amanda Michelle is an sole proprietor health care provider with primary practice located at 938 Geary St Sw , Palm Bay FL 32908-4206. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. White, Amanda Michelle can be contacted via phone (740) 405-8828.

Contact Information

Primary practice address
938 Geary St Sw Palm Bay FL 32908-4206
Phone: (740) 405-8828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Florida

Profile Details

NPI number 1689290264
LBN Legal business name White, Amanda Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2020
Last updated Jun 19th, 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 1689290264 NPPES
Florida MEDICAID 105624800

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