Ball, Amanda

Ball, Amanda is an individual health care provider with primary practice located at 917 W Canfield Ave , Coeur D Alene ID 83815-9764. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ball, Amanda can be contacted via phone (208) 762-3502.

Contact Information

Primary practice address
917 W Canfield Ave Coeur D Alene ID 83815-9764
Phone: (208) 762-3502
Fax: (888) 310-4824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-4295 Idaho

Profile Details

NPI number 1992153282
LBN Legal business name Ball, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2016
Last updated May 27th, 2020 - about 6 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 1992153282 NPPES
Idaho MEDICAID 1992153282

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