Dellinger, Amanda Rae

Dellinger, Amanda Rae is an individual health care provider with primary practice located at 311 E Main St , Rogersville TN 37857-3348. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dellinger, Amanda Rae can be contacted via phone (423) 272-2020.

Contact Information

Primary practice address
311 E Main St Rogersville TN 37857-3348
Phone: (423) 272-2020
Fax: (423) 272-5886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2844 Tennessee

Profile Details

NPI number 1194971788
LBN Legal business name Dellinger, Amanda Rae
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Jul 31st, 2009 - about 17 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 1194971788 NPPES
Tennessee MEDICAID 1509543

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