Amorde, Connie L

Amorde, Connie L is an individual health care provider with primary practice located at 3555 Cesar Chavez , San Francisco CA 94110-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amorde, Connie L can be contacted via phone (415) 641-6625.

Contact Information

Primary practice address
3555 Cesar Chavez San Francisco CA 94110-4403
Phone: (415) 641-6625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14581 California

Profile Details

NPI number 1306884846
LBN Legal business name Amorde, Connie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jun 25th, 2010 - about 15 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 1306884846 NPPES
California MEDICAID PA14581

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