Wilson, Amanda
Wilson, Amanda is an individual health care provider with primary practice located at 19950 S Prairie Rd E , Bonney Lake WA 98391-7901. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wilson, Amanda can be contacted via phone (253) 862-1555.Contact Information
Primary practice address
19950 S Prairie Rd E
Bonney Lake WA 98391-7901
Phone: (253) 862-1555
Fax: (253) 862-1557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00022187 | Washington |
Profile Details
| NPI number | 1043341589 |
|---|---|
| LBN Legal business name | Wilson, Amanda |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jan 3rd, 2012 - about 12 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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