Brenton, Amanda
Brenton, Amanda is an sole proprietor health care provider with primary practice located at 118 Stillmeadow Dr , Lizton IN 46149-9243. 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. Brenton, Amanda can be contacted via phone (317) 856-5201.Contact Information
Primary practice address
118 Stillmeadow Dr
Lizton IN 46149-9243
Phone: (317) 856-5201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22004549A | Indiana |
Profile Details
| NPI number | 1376788323 |
|---|---|
| LBN Legal business name | Brenton, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2008 |
| Last updated | Dec 4th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376788323 | NPPES |
| Indiana | Other | 22004549A | STATE LICENSE |
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