Dunstan, Amie Jennifer
Dunstan, Amie Jennifer is an individual health care provider with primary practice located at 246 Northland Dr Ste 200A , Medina OH 44256-3440. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dunstan, Amie Jennifer can be contacted via phone (330) 725-9195.Contact Information
Primary practice address
246 Northland Dr Ste 200A
Medina OH 44256-3440
Phone: (330) 725-9195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.170864 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S.1903646 | Ohio |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2203353 | Ohio |
Profile Details
| NPI number | 1679055727 |
|---|---|
| LBN Legal business name | Dunstan, Amie Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2018 |
| Last updated | Sep 1st, 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 | 1679055727 | NPPES |
| Ohio | MEDICAID | 0312261 |
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