Clevenger, Amanda
Clevenger, Amanda is an sole proprietor health care provider with primary practice located at 2123 Foxwood Dr , Melbourne FL 32935-4354. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Clevenger, Amanda can be contacted via phone (321) 634-4051.Contact Information
Primary practice address
2123 Foxwood Dr
Melbourne FL 32935-4354
Phone: (321) 634-4051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other | 246Z00000X | 18621 | Florida |
Profile Details
| NPI number | 1326382094 |
|---|---|
| LBN Legal business name | Clevenger, Amanda |
| Credentials | RPSGT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2012 |
| Last updated | Nov 20th, 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.
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