Davis, Amanda Rae

Davis, Amanda Rae is an individual health care provider with primary practice located at 8401 Market St , Boardman OH 44512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davis, Amanda Rae can be contacted via phone (330) 729-4298.

Contact Information

Primary practice address
8401 Market St Boardman OH 44512
Phone: (330) 729-4298
Fax: (330) 729-1897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA-15217 Ohio

Profile Details

NPI number 1326460205
LBN Legal business name Davis, Amanda Rae
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2014
Last updated Jun 14th, 2018 - about 8 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 1326460205 NPPES
Ohio MEDICAID 0114514

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