Wilson, Amanda

Wilson, Amanda is an sole proprietor health care provider with primary practice located at 411 E Indian School Rd Apt 2119 , Phoenix AZ 85012-1886. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Wilson, Amanda can be contacted via phone (480) 241-2197.

Contact Information

Primary practice address
411 E Indian School Rd Apt 2119 Phoenix AZ 85012-1886
Fax:
Website:

Profile Details

NPI number 1043979214
LBN Legal business name Wilson, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2021
Last updated Dec 15th, 2021 - 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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