Agustin, Amelia V

Agustin, Amelia V is an sole proprietor health care provider with primary practice located at 20397 Route 19 Two Landmark North Suite 220, Cranberry Twp PA 16066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agustin, Amelia V can be contacted via phone (724) 772-5430.

Contact Information

Primary practice address
20397 Route 19 Two Landmark North Suite 220 Cranberry Twp PA 16066
Phone: (724) 772-5430
Fax: (724) 772-5431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD035077L Pennsylvania

Profile Details

NPI number 1619944774
LBN Legal business name Agustin, Amelia V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Mar 8th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619944774 NPPES
Pennsylvania MEDICAID 000690637006

Popular Providers