Davila, Amanda Lorraine
Davila, Amanda Lorraine is an individual health care provider with primary practice located at 188 W Hebble Ave , Fairborn OH 45324-4960. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Davila, Amanda Lorraine can be contacted via phone (937) 206-3219.Contact Information
Primary practice address
188 W Hebble Ave
Fairborn OH 45324-4960
Phone: (937) 206-3219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1215425327 |
|---|---|
| LBN Legal business name | Davila, Amanda Lorraine |
| Credentials | QMHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2018 |
| Last updated | Jun 29th, 2022 - about 4 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 | 1215425327 | NPPES |
| Ohio | MEDICAID | 2846826 |
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