Chin, Amanda

Chin, Amanda is an sole proprietor health care provider with primary practice located at 9550 Us Highway 19 , Port Richey FL 34668-4664. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Chin, Amanda can be contacted via phone (352) 442-5543.

Contact Information

Primary practice address
9550 Us Highway 19 Port Richey FL 34668-4664
Phone: (352) 442-5543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1487176715
LBN Legal business name Chin, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2017
Last updated Jul 7th, 2017 - about 9 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 1487176715 NPPES
Florida MEDICAID 900341538

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